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Fidelity solo 401k contribution form

Fidelity self employed 401k 2026

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The document is a contribution remittance form for the Fidelity Self-Employed 401(k) Plan, designed for employers to submit contribution deposits. It includes instructions for filling out the form, mailing addresses for regular and overnight delivery, and guidelines on how to allocate contributions between employee and employer profit-sharing accounts. The form emphasizes the importance of adhering to contribution limits and deadlines, as well as the responsibility of the employer to ensure correct allocation.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Employer Information section. Enter your Company Name, Tax ID Number, Plan Administrator, and Daytime Phone with Extension.
Next, move to the Contribution Information section. Input the Employee Name and Fidelity Account Number. Specify the amounts for Employee 401(k) Contribution and Employer Profit Sharing for both Current Year and Prior Year contributions.
In the Authorization section, ensure you read the terms carefully. Print your name, sign, and date the form to authorize Fidelity to process your contributions as indicated.
Review all entries for accuracy before saving your completed form. If needed, make a copy for your records.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (75 Votes)
2013	4 Satisfied (26 Votes)

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