Custodian Blank Forms

Use these blank forms, as applicable, if your fiduciary type is "Custodian".

We are continuing to update our blank forms library. These are the current blank forms available if your financial organization's fiduciary type is "Custodian".

Individual Retirement Account (IRA) Custodian Blank Forms Revision Date      
Traditional/SEP IRA Custodial Application 02/24/2025      
Roth IRA Custodial Application 02/24/2025      
SIMPLE IRA Custodial Application 02/24/2025      
IRA Deposit Form 02/28/2025      
IRA Deposit Eligibility Checklist 02/27/2025      
Traditional/SEP/SIMPLE IRA Distribution Form 02/28/2025      
Roth IRA Distribution Form 02/28/2025      
Inherited Traditional IRA Distribution Form 02/28/2025      
Inherited Roth IRA Distribution Form 02/28/2025      
Traditional, SEP, or SIMPLE IRA Transfer Request 02/27/2025      
Roth IRA Transfer Request

02/27/2025

     
Roth IRA Direct Conversion Request

02/27/2025

     
IRA Direct Rollover Request

02/27/2025

     
RMD Election (Traditional, SEP, or SIMPLE IRA) 

02/27/2025

     

 

Coverdell Education Savings Account (SA) Custodian Blank Forms Revision Date
ESA Custodial Application 02/24/2025
ESA Deposit Form 02/28/2025
ESA Distribution Form 02/28/2025

 

Health Savings Account (HSA) Custodian Blank Forms Revision Date
HSA Custodial Application 02/24/2025
HSA Distribution Form 02/28/2025
HSA Mistaken Distribution 02/27/2025
HSA Transfer Request 02/28/2025

 

Any Account Type Custodian Blank Forms Revision Date
Beneficiary Designation 02/28/2025
W-4R, Federal Income Tax Withholding Certificate for Nonperiodic IRA Distributions 12/20/2024