US Gov Navigator

Taxes & IRS

Form 15417-B — 403(b) Plan - Miscellaneous Provisions Worksheet 4A - Determination of 403(b) Status

Form 15417-B

403(b) Plan - Miscellaneous Provisions Worksheet 4A - Determination of 403(b) Status

Download official PDFOfficial page / online filing

Last checked Aug 18, 2026

Official sources:

Related

US Gov Navigator does not host government forms. Always download or file on the linked .gov page.