Any distribution shall be paid only upon a completed and properly executed written claim made in a form acceptable to the Plan Administrator that states, under penalties of perjury, all facts and authorizations necessary or appropriate to the distribution, including, but not limited to:
(A) If the distribution is a retirement distribution, appropriate evidence that the participant has a separation-from-service;
(B) If the distribution is a transfer distribution, the distributee’s instruction as to the name and address of the trustee of the transferee eligible deferred compensation plan together with any other information that the Plan Administrator or plan-trustee or issuer reasonably requests;
(C) (1) If the distribution is a death distribution, appropriate evidence of the participant’s death; and
(2) Absent contrary evidence actually known to the Plan Administrator, an appropriate death certificate or a court order stating that the participant is found to be absent and presumed dead shall constitute appropriate evidence of the participant’s death.
(D) If the distribution is a hardship distribution, an appropriate certificate or evidence of the facts constituting the participant’s unforeseeable emergency;
(F) If the participant has a designated beneficiary, the date-of-birth of the designated beneficiary;
(G) If the distribution is in the form of an annuity payout option, the date of birth of any annuitant designated under the annuity payout option;
(H) Whenever required by the Plan Administrator, the date of birth of any person as relevant to the distribution;
(I) (1) If the account consists of more than one investment, the order in which any investments are to be charged or liquidated to pay the distribution; and
(2) If the distributee fails to submit proper instructions, the Plan Administrator may, at his or her discretion, deny the claim or may determine which plan investment(s) and investment options are to be charged.
(J) If the amount of the distribution is greater than a uniform amount established by the Plan Administrator, appropriate assurance (including a signature guarantee) that the participant’s or beneficiary’s signature is genuine; and
(K) Any other evidence or information that the Plan Administrator finds is relevant to administer a provision of the plan in the participant’s or beneficiary’s and the distributee’s circumstances.
(Ord. NIRC 97-1, passed 1-15-1997)