AMOUNT PER PAYCHECK. Enter an amount for each carrier with which you wish to participate. To discontinue contribution enter zero.
Appears in 5 contracts
Samples: Salary Reduction Authorization Form, Salary Reduction Authorization, Salary Reduction Authorization
AMOUNT PER PAYCHECK. Enter an amount for each carrier with which you wish to participate. To discontinue contribution contribution, enter zero.
Appears in 2 contracts
Samples: Salary Reduction Authorization, Salary Reduction Agreement
