Fl supplemental statement 2026

1. Click ‘Get Form’ to open the fl supplemental statement in the editor.
2. Begin by entering your name and Social Security Number (SSN) at the top of the form.
3. Indicate the type of funds you are requesting by checking one of the two boxes: 'Employee Voluntary 403(b)' or 'SUSORP Employer/Mandatory Employee Funded'.
4. Provide your termination date in the designated field, ensuring it aligns with eligibility requirements for accessing funds.
5. Sign the form in front of a notary public, who will also complete their section to validate your signature.
6. If applicable, complete any additional information required on the second page regarding employer/mandatory contributions.
7. Return the completed form via fax, email, or regular mail as instructed, and request a copy for your records if desired.

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