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Documents and Forms » Plan Sponsors/Employers

Select a form from the list below and carefully follow the instructions that are provided.

New Plan Set Up & Conversion Materials

New Plan Notification

Broker/Dealer Information

Other Interested Parties Authorization

Sample Plan Transfer Form

Contributions & Deposits

Systematic ACH Agreement

ACH Bank Withdrawal Request

Deposit Transmittal*

Participant Rollover Deposit Transmittal Form

Participant Loan Payoff Transmittal Form

Disbursement Processes

Disbursement Request

Loan Check Request

Fee Check Request
(In development, contact your Relationship Manager)

Stop Payment Request

Trading Forms

Mutual Fund Trading Authorization
(In development, contact your Relationship Manager)

Non-Mutual Fund/Manual Trading Authorization

Off-shore Asset Trading Authorization
(In development, contact your Relationship Manager)

Individually Directed Accounts

Checklist for Individually Directed Accounts

Enrollment Form for Individually Directed Accounts

Ameritrade Retirement Services Forms

Aspen Investment Alliance, Inc. Account Application

Miscellaneous Operations Forms

Account or TPA/Recordkeeper Address/Information Updates

TPA/Recordkeeper Media Election

Pooled/Loan Account Balance Update

New Fund Addition/Review Request Form

Participant Rollover Asset Transfer Form

Fiserv Brokerage Services Commission Re-Capture Authorization Form

De-Conversion/Transfer-Out Form

 

The forms referenced below are intended for your use to execute a variety of different operational processes. Some forms are available in Microsoft Word format, and others are available in Adobe PDF format, depending on the delivery method and signatory requirements for the respective documents. All forms are "locked" to prevent alteration of the core text. All forms contain a template that allows population of the form "online."
Delivery Requirements - Some forms must be printed, signed and delivered (hard copy or fax) with a signature, while others can simply be completed and delivered electronically. Your delivery requirements may vary depending on your interface with Fiserv ISS. You should check with your Relationship Manager if you have questions about form execution and delivery methods. Updates - You are encouraged to use this page as your forms resource and avoid "saving" forms to your own systems. We will be making frequent modifications, updates and revisions to our forms. Failure to use the most current version of a particular form may prevent the timely execution of your instruction. Fiserv ISS will not be responsible for transaction delays, failures or losses that result from the use of incorrect forms.