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DaVita Retirement Savings Plan fax number

(844) 206-7960

DaVita Retirement Savings Plan Administration

Used for: Hardship withdrawal submission

Fax destination details

Department
DaVita Retirement Savings Plan Administration
Purpose
Hardship withdrawal submission
Form
Hardship Withdrawal — DaVita Retirement Savings Plan Hardship Withdrawal Application
Address
8900 Prominence Parkway, Jacksonville, FL 32256-8264
Voice phone
1-844-382-4015

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the hardship withdrawal form and attach the required documentation; submit by mail or fax to the DaVita Retirement Savings Plan Administration as instructed on the form DV422020HARDSHY.pdf.

Official form instructions are published as a downloadable file on the organization's website.

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