Alternate Benefit Program WITHDRAWAL REQUEST - newjersey 2026

1. Click ‘Get Form’ to open the Alternate Benefit Program WITHDRAWAL REQUEST in the editor.
2. Begin by entering your full name in the designated field. Ensure that it is printed clearly for accurate processing.
3. Next, input your date of birth in the format MM/DD/YYYY. This information is crucial for verifying your identity.
4. Provide your Social Security Number in the specified field. This will help in tracking your account and benefits.
5. Enter your Member Number, specifically the last four digits, to link your request to your account.
6. Indicate whether you have resigned, been dismissed, or retired by selecting the appropriate option and filling in the retirement date if applicable.
7. Finally, read through the acknowledgment statement carefully, sign it at the bottom, and enter today’s date to complete your request.

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