Contact Us
MENU

Contact Us

Your Name: required
Last Four of SSN: required
Employer Name: required
E-mail Address:
Phone Number:
Question/Comment:
Form Submissions:

If Employer or Third-Party Administrator Signature is Required:

Give the completed and signed Distribution Form to the plan’s Authorized Signer for completion and the Authorized Signer will submit the Form to Alerus.

The Authorized Signer is generally your employer but may be the plan’s third-party administrator.

For Expedited Delivery Services:

To request expedited delivery of your request, please write on page 1 of your form “Overnight Delivery”. There is a $35 fee for UPS expedited delivery. Deliveries typically arrive the next business day by the end of day.

Expedited delivery does not affect the processing time of your requested distribution.

You may not use this upload option for Distribution Forms that require a Medallion Signature Guarantee or require an Authorized Signer.

Attachment 1:
Attachment 2:
Attachment 3:
Attachment 4:
Attachment 5:
Maximum Total File Size is 50 Megabytes.