Benefit Distribution Request (PDF) (PDF) – Start the process needed to request a distribution from the Plan. Benefit Distribution Request (PDF) – Start the process needed to request a distribution from the Plan.Fill out this form and submit it via mail for processing. This product outline applies to individual deferred annuity contracts and annuity applications delivered or issued for delivery in New York. • Benefit payments may be made in the form of: • A full withdrawal. • Partial withdrawals. If your policy is a not a Tax Sheltered Annuity use form 18484F. New York Life Fixed Deferred Annuities. Do not complete this Enrollment Form if you are already enrolled in the 457 or 401(k) Plan and wish to elect Roth (after-tax) deferrals. For New York Life Fixed Annuities.