Questions? Distribution — Rollover - Fidelity Investments
3.TEMDISTRO.104 Page 1 of 4 026380201 Distribution — Rollover Use this form to request a rollover distribution from your 401(a), 401(k), 403(b) or 457(b) governmental employer planFill in by hand using . CAPITAL letters and black ink, or on screen (if PDF). ................
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