Account Forms

The following forms will help you maintain your VHEIP account. Simply download and print the appropriate form, fill out and mail to:

VHEIP
PO Box 8101
Boston, MA 02266-8101

All of the below forms are in PDF format and require the free Adobe Acrobat Reader.

Form	Purpose
Account Application	The Vermont Higher Education Investment Plan (VHEIP) offers three types of account ownership: Individual, Custodial Account for a Minor, or Entity Account. Please read the Disclosure Booklet and Participation Agreements carefully before opening an Account. Be sure to choose the type of Account that is appropriate for you. Individual Account -- Use this form to open a VHEIP account by an individual (typically a parent, grandparent, family member or friend). See a sample completed form (PDF, 226KB). Custodial Account for a Minor (UGMA/UTMA) -- Use this form to open an Account under the Uniform Gifts to Minors Act (UGMA) or Uniform Transfers to Minors Act (UTMA). Unlike other types of accounts, a custodial account owner is acting purely in a representative capacity for the minor beneficiary, who is the legal owner of the account. Please read the Important Information about Custodial Accounts for a Minor, contained in the Account Application for a Custodial Account, before opening this type of account. You should also be aware that funds deposited into this type of account cannot be transferred or rolled over to another account owner or beneficiary. See a sample completed form (PDF, 216KB). Entity Account -- Use this form to open an account for a trust, estate, business entity, IRC 501(c)(3) organization, or a state/local government. See a sample completed form (PDF, 222KB).
Account Services Form	Use this form to add or modify your Account information, such as a change to Account Owner or Beneficiary addresses or telephone numbers. You can also use this form to add, modify or revoke a Contingent Account Owner designation. See a sample completed form (PDF, 112KB). You should be aware that a Contingent Account Owner can only be named for an Individual account and may become the Account Owner upon the death of the current Account Owner, subject to account ownership requirements set forth in the Disclosure Booklet.
Additional Contribution by Mail	Use this form to contribute to an existing VHEIP Account. See a sample completed form (PDF, 80KB).
Annual Rebalance Form *	Use this form to rebalance, or transfer, assets among Investment Options for the same Beneficiary once per calendar year. See the note below for more information about using this form. See a sample completed form (PDF, 104KB).
Authorization for Automatic Payroll Deduction	Use this form to establish or modify automatic payroll deduction only if your employer agrees to offer this option. Use only one form to allocate your payroll deductions among Accounts you may own for one or more Beneficiaries. See a sample completed form (PDF, 101KB). You can also make recurring contributions from your bank account. See the Electronic Banking Information Form for details.
Change of Account Owner *	Use this form to change the Account Owner on a Program Account. (Only an Individual or Entity Account can use this form because a change of Account Owner is not permissible for Custodial Accounts for a Minor.) See the note below for more information about using this form. See a sample completed form (PDF, 109KB).
Change of Beneficiary *	Use this form to change the Beneficiary on a VHEIP Account. (Only an Individual or Entity Account can use this form because a change of Beneficiary is not permissible for Custodial Accounts for a Minor.) See the note below for more information about using this form. See a sample completed form (PDF, 108KB).
Electronic Banking Information Form	Use this form to add, change or delete your bank information from your Account. You can establish an Automatic Contribution Plan (ACP) or elect the Electronic Purchase Option by completing this form. See a sample completed form (PDF, 152KB).
Rollover Form for New or Existing Program Accounts	Use this form to request a direct rollover from another qualified tuition plan (QTP), or to make an indirect rollover of assets within 60 days from another QTP, Coverdell Education Savings Account, or from the redemption of a qualified U.S. Savings Bond. See a sample completed form (PDF, 112KB). Transfers and/or rollovers may be subject to differences in features, costs, and expenses. Non-direct transfers/rollovers may be subject to taxation and penalties. Consult with your tax advisor regarding your particular situation.
Withdrawal Request Form	Use this form to withdraw assets from VHEIP for any reason. See a sample completed form (PDF, 103KB).
* Note: If you submit an Annual Rebalance Form, Change of Account Owner and/or Change of Beneficiary AND you participate in automatic payroll deduction, the Automatic Contribution Plan (ACP) and/or the Electronic Purchase Option, then you may need to submit an Authorization for Automatic Payroll Deduction Form and/or Electronic Banking Information Form along with your request. Please read each form carefully or call for assistance.