Download a Self-Employed 401(k) Account Application

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Fidelity Self-Employed 401(k) Retirement Plan Account Application (PDF)
Complete, sign in ink, and mail your application to the address included in the application.

If you are unable to access the PDF application, you can have a paper copy mailed to you by calling 800-544-5373.

To view the account's supporting documents, please return to the supporting documents page.

800-544-5373

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Download & Complete the Fidelity Self-Employed 401(k) Retirement Plan Account Application