457 Emergency Withdrawal Packet - City of Madison , Wisconsin 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Employee Information section. Ensure all fields are completed accurately, including your full name, mailing address, date of hire, and contact information.
3. In the Reason for Emergency Withdrawal section, select the appropriate reason for your request. Attach supporting documentation as specified for each reason.
4. Provide detailed information about your financial emergency in the Details section. If applicable, explain any expenses incurred by others that you are responsible for.
5. Indicate the amount you wish to withdraw in the Withdrawal Request section. Specify if you want additional amounts withheld for federal and state taxes.
6. Complete the Participant Checklist to ensure all necessary steps have been followed and required documents attached.
7. Finally, review your application for accuracy and submit it as instructed in the mailing options section.

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