To apply, fill out the Self-Certification Unforeseeable Emergency Form (PDF) and return it to us via mail. Date(s) Unforeseeable Emergency occurred: NOTE: Circumstances over 12 months from the date of application will not be considered for Unforeseeable Emergency.Benefit Distribution Request (PDF) (PDF) – Start the process needed to request a distribution from the Plan. To take advantage of Qualified Military Make-up deferrals when you return, you'll need the following: Qualified Military Service Make-up form; Military Orders.