To apply, fill out the Self-Certification Unforeseeable Emergency Form (PDF) and return it to us via mail. In order to qualify for an unforeseeable emergency withdrawal, your situation must meet one of the Internal Revenue Service.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 Funds are withdrawn from an employee's income without being taxed and are only taxed upon withdrawal. You will need to indicate the amount you wish to contribute and select your investment option(s), as well as fill out a Beneficiary Designation form. Please refer to "One-Time Withdrawals" on page 2.