Salt Lake City, Utah 84110-1590. 801-366-7720 or 800-688-4015.Use this form to request a withdrawal of vested funds from your Utah Retirement Systems (URS) 401(k) Plan. A 457(b) plan is a tax-deferred retirement savings plan. Funds are withdrawn from an employee's income without being taxed and are only taxed upon withdrawal. There is an exception; if you have the Premium Only sub-account, you can be reimbursed from that sub-account for insurance premiums in the same tax year you. If you have any questions about completing this form, or about applying for a withdrawal on your own behalf, please contact Carolina Lopez at (510) 464-6208. Former employees and retirees may withdraw funds (or roll funds out of the plans) after their university employment has been terminated for 32 or more days. Deferred compensation packages allow employees to allocate a portion of their income for future use, typically during retirement.