Nationwide Form Downloads
National Benefit Services, LLC forms

Information and Assistance for Nationwide Participants

401(k) Deferral Election & Change Form Employee 401(k) Enrollment Form Print and fill out, then return to your HR department.

Beneficiary Change Form Employee beneficiary change form Print and fill out, then return to your HR department.

Participant Termination Withdrawal Form Employee 401(k) termination/rollover form Fill out this form and turn in to your HR department if you are terminating employment or wish to roll money to a different account.

Distribution Safe Harbor Explanation Employee Explanation for employees regarding safe harbor regulations.

Hardship Withdrawal Application Employee Hardship Withdrawal Form Fill out and return to your HR department.

In-Service Withdrawal Form Employee In-Service Withdrawal Form In most cases this form should only be completed by employees who have attained age 59 ½ and are 100% vested for all sources in their account.  You will need to check with your HR department before completing this form to see if you are eligible for an in-service withdrawal.  If you are eligible, print and complete this form, then return to your HR Department.

Loan Application Employee Loan application form, fill out and return to your HR department.