INSTRUCTIONS: ALABAMA STATEMENT OF WITHDRAWN SERVICE (Form RSA SWDS)

For previously withdrawn service to be credited to a retirement account administered by the Retirement Systems of Alabama, the form discussed in this article must be filed. This document can be obtained from the website maintained by the Retirement Systems of Alabama.

Alabama Statement Of Withdrawn Service RSA SWDS Step 1: Enter your first, middle and last name on the first blank line.

Alabama Statement Of Withdrawn Service RSA SWDS Step 2: Enter your address on the second blank line.

Alabama Statement Of Withdrawn Service RSA SWDS Step 3: Enter your Social Security number on the third blank line.

Alabama Statement Of Withdrawn Service RSA SWDS Step 4: Place a check mark next to the first statement if you have not established any other public retirement system credit for previously withdrawn service.

Alabama Statement Of Withdrawn Service RSA SWDS Step 5: Place a check mark next to the second statement if you have established another public retirement system credit for previously withdrawn service.

Alabama Statement Of Withdrawn Service RSA SWDS Step 6: Place a check mark next to the third statement if you have established credit with another public retirement system for part of your previously withdrawn service. Enter the total years and months of this service.

Alabama Statement Of Withdrawn Service RSA SWDS Step 7: Enter your signature on the next blank line.

Alabama Statement Of Withdrawn Service RSA SWDS Step 8: Enter your date on the next blank line.

Alabama Statement Of Withdrawn Service RSA SWDS Step 9: The form should then be certified by a notary public. On the first blank line, they will enter the state.

Alabama Statement Of Withdrawn Service RSA SWDS Step 10: On the second blank line, the notary public will enter the county.

Alabama Statement Of Withdrawn Service RSA SWDS Step 11: On the third blank line, the notary public will enter the number of the day.

Alabama Statement Of Withdrawn Service RSA SWDS Step 12: On the fourth blank line, the notary public will enter the month. On the fifth blank line, they will enter the month.

Alabama Statement Of Withdrawn Service RSA SWDS Step 13: On the sixth blank line, the notary public will enter your name. They will enter their signature and the date their commission expires on the last two blank lines.