Completing the Empower Housing Allowance Distribution Form

Empower is requiring 2025 Form W-4P (irs.gov) or 2025 Form W-4R (irs.gov) forms with distribution requests. The W-4P is for periodic payments, and the W-4R is for one-time withdrawals.

Retired clergy may choose to complete a Housing Allowance Distribution Form rather than the other Empower withdrawal forms, to have taxes suppressed (not withheld) and to receive a form 1099-R that states "taxable amount not determined."

That form is available by clicking here:  
Housing Allowance Distribution Form (version to print and complete by hand).

Housing Allowance Distribution Form – fillable (version to complete on your computer)

Note about RMDs: If you wish to request a housing allowance RMD payment and have Empower calculate the RMD amount, you can now complete the RMD form and select the YES box for housing allowance. Call Empower to complete this over the phone or have them send you the RMD form (833-882-2023). See instructions on Completing the RMD Form for Housing Allowance.


You can also find the Housing Allowance Distribution form (only the printable version) in your online Empower account:
-Visit Empower and log in: uuaempower.com.

-If a window opens about "setting a monthly goal" or something like this, or a video opens, you can click cancel or close these. 

-Click on Account at the top of the page, and then click on Overview.
-Then on the left click on Plan Forms (see image here).

-Next click on Housing Allowance Distribution Request (image below).

To request no federal and no state taxes to be withheld for periodic installment payments, please complete part F by checking the boxes circled below.




If you do want withholding, you will need to fill out the W-4P or W-4R to specify withholding amount(s).

W-4P and W-4R withholding forms:
The form W-4P is required for tax withholding changes.  Some states have their own forms, as well. (The list of these states Empower shared is: AR, CA, CT, DE, IL, MA, MI, MN, MS, MT, NC, NE, OK, OR, RI, SC, VA).  We know that participants have received conflicting information about these forms from Empower, so while we sort that out with them, here's what we recommend:

When completing your Housing Allowance Distribution form, we recommend everyone complete the Form W-4P and also the state form (if required for your state) to cover all your bases. Then submit these forms with your Housing Allowance Form.

For completing the W-4P, you may find the instructions on page 2 useful where it says:
"Choosing not to have income tax withheld. You can choose not to have federal income tax withheld from your payments by writing “No Withholding” on Form W-4P in the space below Step 4(c). Then, complete Steps 1a, 1b, and 5."

This is the list of states we received from Empower:




**If you are completing a housing allowance distribution request form for a one-time payment, please complete the Form W-4R rather than the W4-P.  (The W4-R is for nonperiodic payments and the W-4P for periodic payments.)

You need to provide either the same W4-P or updated W4-P with each distribution request.
When requesting a new distribution or a change to a distribution in a new calendar year, Empower will need a new W4-P for that new tax year.

Submitting the Paperwork

After completing the forms, you can upload or mail to Empower (see part G on the Housing Allowance form).   If you cannot upload the forms, another option is to fax them to Empower at: (866) 633-5212.
To upload, log in to your Empower account, and in the box on the right, click on Upload a document:  
 Or, if you are on the Accounts screen, you can click on Upload documents on the left:  



Please contact retirementplan@uua.org with questions.