Sdrs form b4 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1, Member Information. Fill in your Social Security Number, last name, first name, middle initial, maiden name, daytime telephone number, and address details. Ensure all information is accurate.
3. If your mailing address differs from your residential address, complete Section 2 with the appropriate details.
4. In Section 3, provide the name of your prior SDRS employer and the date your employment ended.
5. Section 4 requires you to select a type of refund benefit. Carefully read each option and check the box that applies to your choice.
6. If you selected options A or B in Section 4, complete Section 5 by providing the financial institution's details for direct rollover.
7. For direct deposit authorization in Section 6, indicate whether you wish to use direct deposit and attach a voided check if applicable.
8. Finally, sign and date Sections 7 and 8 as required. Ensure all signatures are present before submission.

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