4966 El Camino Real
Suite 213
Los Altos, CA 94022

Phone: 650-961.5500
and 800-608.2563
Fax: 650-961.8495

TERMINATION NOTICE/DISTRIBUTION REQUEST FORM

INSTRUCTIONS: Your plan document details the timing of distributions for any terminating participant. When a terminated participant requests a distribution, please check your plan document before committing to a time of payment.

When a participant is eligible for payment, please complete and send a copy of the “Termination Notice/Distribution Request Form” to our office. Upon receipt of the completed form, we will calculate the vested benefit due and send you a distribution package. This package should be reviewed and signed by the trustee then passed on to the terminated participant for distribution election. Once the participant has made their election, please forward the package to our office. We will review the package to make sure that everything has been completed and send you a letter detailing the amount to be distributed and/or withheld.

If you have any questions, please contact our office at (650) 961-5500.
Termination Notice/Distribution Request Form [pdf format]

PARTICIPANT LOAN APPLICATION

INSTRUCTIONS: Please read the loan policy and loan application forms carefully. If a participant requests a loan from the plan, please complete the “Participant Loan Application” and send it to our office for processing.

Our office will prepare the amortization schedule and supporting documents. At the same time, you must request the funds from your investment source for the amount of the loan.

If you have any questions, please contact our office at (650) 961-5500.
Participant Loan Application Form [pdf format]

OTHER FORMS YOU MAY REQUEST:

Employee Census Data [pdf format]

Confidential Feasibility Study Request [pdf format]