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Florida Department of Financial Services, Bureau of Deferred Compensation (Florida Deferred Compensation Plan) fax number

(850) 354-5098

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Bureau of Deferred Compensation

Used for: Unforeseeable Emergency Withdrawal (UEW); submission of Form DFS-JS-1171 and related documents per the UEW packet.

Fax destination details

Department
Bureau of Deferred Compensation
Purpose
Unforeseeable Emergency Withdrawal (UEW); submission of Form DFS-JS-1171 and related documents per the UEW packet.
Form
Form DFS-JS-1171 — Request for Unforeseeable Emergency Withdrawal
Address
200 East Gaines Street, Tallahassee, FL 32399-0346
Voice phone
(850) 413-3162

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 Form DFS-JS-1171, include the required Income Statement and W-4P, provide supporting documentation for the unforeseeable emergency, and submit by mail or fax to the Bureau of Deferred Compensation.

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

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