Yes! You can use AI to fill out Incoming Rollover Election Form for International Dairy Queen, Inc. Retirement Savings Plan

This form, officially known as the Incoming Rollover Election, facilitates the consolidation of retirement savings by allowing an employee to move funds from a prior employer's retirement plan or an Individual Retirement Account (IRA) into their current plan. Completing this form correctly is crucial for ensuring a seamless, tax-compliant transfer of assets, which helps in managing retirement investments more effectively in one place. Today, this form can be filled out quickly and accurately using AI-powered services like Instafill.ai, which can also convert non-fillable PDF versions into interactive fillable forms.
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Form specifications

Form name: Incoming Rollover Election Form for International Dairy Queen, Inc. Retirement Savings Plan
Number of pages: 1
Language: English
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How to Fill Out Incoming Rollover Election Form Online for Free in 2026

Are you looking to fill out a INCOMING ROLLOVER ELECTION FORM form online quickly and accurately? Instafill.ai offers the #1 AI-powered PDF filling software of 2026, allowing you to complete your INCOMING ROLLOVER ELECTION FORM form in just 37 seconds or less.
Follow these steps to fill out your INCOMING ROLLOVER ELECTION FORM form online using Instafill.ai:
  1. 1 Navigate to Instafill.ai and upload or select the Incoming Rollover Election form.
  2. 2 Provide your personal details in the Participant Information section, including your name, address, and Social Security Number.
  3. 3 Complete the Rollover Information section, indicating whether it's a Direct or In-direct rollover and the type of plan you are rolling over from.
  4. 4 Enter the details of your previous provider and attach required documentation, such as a recent account statement.
  5. 5 Specify your investment allocation choices for the rolled-over funds in the Investment Option Information section, or choose to use existing allocations.
  6. 6 Carefully review all entered information for accuracy, then provide a handwritten signature and date as required by the form.
  7. 7 Submit the completed form and any accompanying checks or documents to the address or fax number provided in the Payment Instructions section.

Our AI-powered system ensures each field is filled out correctly, reducing errors and saving you time.

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Frequently Asked Questions About Form Incoming Rollover Election Form

This form is used to move your retirement savings from a previous employer's plan (like a 401k or 403b) or an IRA into your current International Dairy Queen, Inc. Retirement Savings Plan.

Any employee of International Dairy Queen, Inc. who wishes to consolidate their retirement funds by transferring money from a prior retirement account into their current plan should complete this form.

You must attach a copy of your most recent account statement from your old plan or IRA. If you are mailing a physical check, you also need to include the original distribution check stub.

No, a handwritten signature is mandatory for this form. Submitting an electronic signature will not be accepted and will result in a significant processing delay.

A Direct Rollover is when your old provider sends the funds directly to the new plan administrator. An In-direct Rollover is when a check is made payable to you, and you have 60 days to deposit it into your new plan.

Endorse the check to 'Great-West Trust Company, LLC' and mail it with your completed form and the check stub to the address provided in the 'Payment Instructions' section.

Yes, complete and submit this form first. After it's processed, a specialist will contact you to help initiate the distribution from your previous provider.

The form has a section for 'Reasons for Late Contribution' where you can certify a valid reason for the delay, pursuant to IRS guidelines. This may allow you to still complete the rollover.

Use the 'Investment Option Information' section to either apply your existing investment allocations or choose new ones from the list. If left blank, your funds will go into the plan's default investment option.

No, an outstanding loan balance cannot be rolled over. You can either pay off the loan before starting the rollover or roll over only the cash value of your account.

You can call the Rollover Services Team for assistance at 1-866-360-1192, Option 3. They are available Monday through Friday from 8 a.m. to 10 p.m. Eastern time.

Yes, services like Instafill.ai use AI to accurately auto-fill form fields, saving you time and reducing errors. Remember, you will still need to print the form to provide a handwritten signature.

Upload the PDF to the Instafill.ai platform, and its AI will make the fields fillable. After the tool populates your information, you can print the completed document for your required wet signature.

You can use a service like Instafill.ai, which converts flat, non-fillable PDFs into interactive forms. This allows you to type your information easily before printing the form for signature.

Compliance Incoming Rollover Election Form
Validation Checks by Instafill.ai

1
Handwritten Signature Verification
This check verifies that the 'Participant Signature' field contains a physical, handwritten signature. The form explicitly states that electronic signatures will not be accepted and will cause significant delays. Failure to provide a valid handwritten signature will result in the form being rejected and returned to the participant for correction, halting the rollover process.
2
Social Security Number Format
This validation ensures the Social Security Number is present and formatted correctly as a nine-digit number (XXX-XX-XXXX or XXXXXXXXX). The SSN is a critical identifier for matching the participant to their account and for tax reporting purposes. An invalid or missing SSN will prevent the system from identifying the correct account and will cause the form submission to fail until corrected.
3
Investment Allocation Percentage Sum
If the participant chooses to 'Select Your Own Investment Options', this check verifies that the allocation percentages are whole numbers and that their sum is exactly 100%. This is crucial for ensuring the entire rollover amount is invested according to the participant's wishes. If the percentages do not total 100%, the form is considered 'not in good order' and will be rejected, as the system cannot guess how to allocate the remaining funds.
4
Exclusive Investment Allocation Selection
This check ensures that the participant has selected either '(A) Existing Ongoing Allocations' or '(B) Select Your Own Investment Options', but not both. Selecting both options creates ambiguity in how the funds should be invested. If both or neither are selected, the form will be flagged for manual review or rejection to obtain clear investment instructions from the participant.
5
Rollover Type Selection Completeness
This validation confirms that the participant has selected a rollover type, either 'Direct Rollover' or 'In-direct 60-Day Rollover'. This choice determines the subsequent processing steps and required documentation. Failure to select a rollover type makes it impossible to process the request, as the source and handling of the funds are unknown.
6
Rollover Source Plan Type Selection
This check verifies that for the chosen rollover type (Direct or In-direct), a specific source plan type (e.g., 'Qualified 401(k) plan', 'Traditional IRA') has been selected. This information is vital for compliance with IRS regulations, as different rules apply to rollovers from different plan types. An omission here will lead to rejection of the form until the source plan is clearly identified.
7
Conditional Late Rollover Justification
This validation applies if an 'In-direct 60-Day Rollover' is being made after the 60-day deadline. It checks that at least one box is checked in the 'Reasons for Late Contribution' section. This self-certification is required by the IRS to potentially waive penalties, and without it, a late rollover cannot be accepted. The form will be rejected if it's a late rollover and no reason is provided.
8
Liquidation Instruction Completeness
This check ensures the participant has provided clear instructions for liquidation by selecting either '100%' or providing a specific dollar amount for a 'Part'ial transfer. Ambiguous instructions could lead to incorrect amounts being transferred from the previous provider. If this section is incomplete, the authorization is invalid and the request cannot be sent to the previous custodian.
9
Required Documentation Attachment Check
This is a processing check to confirm that required supporting documents, such as a copy of the distribution check stub or the most recent account statement, are included with the form submission. The form explicitly states these are required to verify the rollover details. Missing documentation will place the rollover on hold until the required items are received.
10
Participant Information Completeness
This check verifies that all fields in the 'Participant Information' section (Name, Address, Phone, Date of Birth) are filled out. This data is essential for account identification, communication, and legal record-keeping. Incomplete information will result in processing delays while the service provider attempts to contact the participant to obtain the missing details.
11
Date of Birth Format and Plausibility
This validation ensures the 'Date of Birth' is entered in a valid date format (e.g., MM/DD/YYYY) and represents a plausible age for a retirement plan holder (e.g., over 18 and under 120). This helps prevent data entry errors and is necessary for determining eligibility for certain plan features and distributions. An invalid or implausible date will cause the form to be flagged for correction.
12
Previous Provider Information Completeness
This check ensures that the 'Previous Provider Information' section, including Company Name, Account Number, and Mailing Address, is fully completed. This information is critical for Empower Retirement to contact the correct institution and identify the correct account to be rolled over. If this information is missing or incomplete, the rollover cannot be initiated, as the source of the funds is unknown.

Common Mistakes in Completing Incoming Rollover Election Form

Using an Electronic Instead of a Handwritten Signature

The form explicitly states multiple times that a handwritten signature is required and electronic signatures will not be accepted. This mistake often occurs because people are accustomed to the convenience of e-signatures for other documents. Submitting the form with an electronic signature will lead to its immediate rejection and cause a significant delay in the rollover process. Always print the form and sign it with a pen before submitting; since this form is a non-fillable PDF, tools like Instafill.ai can convert it into a fillable version, allowing you to type in all other information cleanly before printing for the required signature.

Forgetting to Attach Required Supporting Documents

The form's checklist requires attaching a copy of the distribution check stub and the most recent account statement from the previous provider. People often overlook these requirements in their haste to complete the main form. Failure to include these documents will halt the process, as the new provider cannot verify the source, type, and amount of the funds, leading to processing delays until the missing items are received.

Failing to Obtain Previous Plan Administrator Certification

If the account statement from the old plan doesn't show the plan type or Roth contribution details, the form requires the previous plan administrator to fill out and sign a specific section. This is a common point of failure as it requires coordinating with a third party, which can be slow. Submitting the form without this certification when required will result in the rollover being rejected until the fully completed information is provided, delaying the entire transaction.

Investment Allocation Percentages Not Totaling 100%

When choosing to select their own investment options, applicants must assign whole percentages to different funds that add up to exactly 100%. Simple arithmetic errors or forgetting to allocate the full amount are common mistakes. An incorrect total will cause the investment instruction to be rejected, and the funds may be placed in the plan's default investment option, which may not align with the participant's financial goals. AI-powered form-filling tools like Instafill.ai can help prevent this by automatically validating that the entered percentages sum to 100.

Personal Information Mismatch

The form specifies that the name provided must exactly match the name on file with the service provider. Applicants may use a nickname or a name that hasn't been updated after a legal change, causing a mismatch that prevents the provider from linking the form to the correct account. This error leads to rejection and requires resubmission. To avoid this, carefully enter your full legal name exactly as it appears on your account statements.

Incorrect Payee on the Rollover Check

The payment instructions clearly state that checks must be made payable to 'Great-West Trust Company, LLC.' Participants or their previous providers might mistakenly write the check to the participant, 'Empower Retirement,' or the plan name. An incorrectly written check cannot be deposited and will be returned, causing significant delays and potentially creating tax issues if it pushes an indirect rollover past the 60-day deadline.

Attempting to Roll Over Ineligible Funds

Not all distributions from a retirement account are eligible for rollover. The form explicitly prohibits rolling over funds from hardship distributions, required minimum distributions (RMDs), outstanding loan balances, or Roth IRAs. Participants unaware of these rules may attempt to roll over these amounts, which will result in the rejection of the contribution and the return of funds, complicating the participant's tax situation.

Exceeding the 60-Day Limit for an Indirect Rollover

For an indirect rollover, where the check is made payable to the participant, the funds must be deposited into the new plan within 60 days of receipt. People often underestimate the time required to complete paperwork and mail documents, causing them to miss this strict IRS deadline. Missing the deadline causes the entire distribution to be treated as taxable income and may incur a 10% early withdrawal penalty, resulting in a significant and unexpected tax bill.

Inaccurate Breakdown of Roth vs. Pre-tax Funds

When rolling over from a 401(k) that contains both Roth and pre-tax money, the participant must accurately specify the dollar amount for each type. This can be confusing, and people may guess or misread their statement, leading to incorrect entries. An inaccurate breakdown can lead to serious tax reporting issues, as the cost basis for the Roth portion must be tracked correctly to ensure future tax-free treatment.

Confusing Direct vs. Indirect Rollover Procedures

The form has distinct sections and instructions for Direct Rollovers (funds move between institutions) and Indirect 60-Day Rollovers (participant receives a check). A common error is selecting the wrong type or mixing up the steps, such as failing to account for mandatory tax withholding on an indirect rollover. This confusion can lead to processing delays, rejected forms, and unexpected tax consequences.
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