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Sample QDRO for DC plan?

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Does anyone have a sample of a QDRO for a DC plan that they feel is well drafted and unambiguous (if there exists such an animal) that they would be willing to share (via e-mail or fax)?

If so, please post or provide contact info. Thanks!

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Thanks! Here's the new URL, now that the Pension and Welfare Benefits Administration has been renamed to the Employee Benefits Security Administration:


Appendix C to that document discusses a sample QDRO the IRS issued in 1997:


The sample QDRO is at:


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