403(b) PLAN DISBURSEMENT REQUEST FORM for Regional School District #17 [Higganum, CT]
TRANSACTION TYPE: Exchange
The movement of funds from one 403(b) provider to another eligible 403(b) provider under the same Employer's Plan. For more details, please visit our Transaction Information page or contact OMNI.
Step 1 of 3: Supply Information
Step 2 of 3: Confirm Entries
Step 3 of 3: Submission Confirmation
- Please supply the information requested below.
- Read all agreements on the form before submitting.
- Fields having an asterisk notation are required.
- The tracking number for your request is .
- We will review your request and advise.