Before completing this form, read the back for important information regarding Hardship Withdrawals. 2. The withdrawals are also subject to state income tax.A hardship distribution is a withdrawal from a participant's elective deferral account made because of an immediate and heavy financial need. You MUST provide supporting documentation for your request. Utah Retirement Systems. As with any financial decision, you are encouraged to. Westminster University is a private, non-profit, accredited, and comprehensive liberal arts university in Salt Lake City, Utah. 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. To initiate a hardship withdrawal, participants complete a Hardship Distribution Request form and submit to Empower.