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KTA Forms
This page
provides you with many of KT Administrators, Inc. generic
forms. These forms are listed for information purposes only.
For a plan specific form, contact your Human Resources Department.
To view a form, simply click on the filename. If you have
any trouble downloading these files,
contact KT Administrators, Inc.
KT Administrators, Inc., Authorized Generic Forms
| File Name | Pages | Description |
| MASTER election form.pdf | 1 | Generic Participant Election Form |
| MASTER rollover form.pdf | 1 | Generic Rollover Election Form |
| MASTER bene form.pdf | 1 | Generic Beneficiary Designation Form for Death Benefit Proceeds |
| MASTER spousal form.pdf | 1 | Generic Spousal Consent to Waiver Form |
| MASTER payout form.pdf | 7 | Generic Payout Request Form Page 1: Directions Pages 2-6: Special Tax Notice Pages 7-9: Actual Payout Request |
| MASTER loan guidlines.pdf | 2 | Guidelines for a Participant Loan |
| MASTER loan app. form.pdf | 1 | Application for a Participant Loan |
| MASTER hardship.pdf | 4 | Generic
Hardship Withdrawal Request (Note: Form can only be opened in Read-Only) Page 1: Directions Page 2: Guidelines, Tax Notice, and Certification Page 3: Application and Election Form Page 4: Consent and Signature |
| MASTER PIN request.pdf | 1 | Generic PIN Request Form |
| MASTER loan notice to term. part.pdf | 1 | Notice of Outstanding Loan Balance for Terminated Participants |
| MASTER loan election form for term. part.pdf | 1 | Election form for Terminated Participants with an Outstanding Loan Balance |
This site was last modified on July 22, 2003
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