Employee Hardship Withdrawal Request Form

Streamline 401(k) Hardship Withdrawal Requests with Paperform

Managing employee retirement plan withdrawals requires careful documentation, compliance, and clear communication. This Employee Hardship Withdrawal Request Form template helps HR teams, benefits administrators, and financial services professionals process 401(k) hardship withdrawals efficiently while ensuring employees understand their options and obligations.

Built for HR and Benefits Teams

Whether you're an HR manager at a mid-sized company, a benefits administrator, or part of a payroll team, this form template addresses the complexity of hardship withdrawal requests. It guides employees through qualifying circumstances, required documentation, tax implications, and alternative solutions like 401(k) loans—all in one clear, professional submission.

The form captures essential information including the nature of the financial emergency, withdrawal amount requested, supporting documentation, and mandatory tax penalty acknowledgments. Conditional logic ensures employees only see relevant questions based on their specific situation, making the process less overwhelming during already stressful times.

Why Paperform for Benefits Administration

Paperform's document-style editor lets you customize this template to match your company's specific 401(k) plan rules and compliance requirements. Add your branding, adjust question wording to reflect your plan provider's language, and configure email notifications to route requests to the right benefits team members.

The form works seamlessly as an embedded tool on your employee portal or as a standalone page with your company domain. File upload fields let employees submit required documentation like medical bills, eviction notices, or funeral expenses securely, while eSignature capabilities through Papersign (papersign.com) can be used to capture formal acknowledgment of tax penalties and repayment obligations.

Automate Your Benefits Workflow

Connect this form to your HRIS, benefits platform, or payroll system using Stepper (stepper.io) to automatically create cases, notify plan administrators, and track approval stages. You can route different types of hardship requests to appropriate reviewers, update employee records, and maintain audit trails without manual data entry.

For HR teams managing multiple benefit programs, Paperform provides a centralized, compliant solution that treats employees with respect during financial difficulties while protecting your organization with proper documentation and disclosures.

Trusted by HR teams worldwide and SOC 2 Type II compliant, this template helps you process sensitive financial requests with professionalism and care.