Indemnification of Employer. I UNDERSTAND that I am required to provide complete and accurate information to my TDA vendor and the consequences of not doing so as specified in Paragraph B on the back of this form. MY SIGNATURE below is my agreement to comply. Employee Signature: Date: Employer Signature: Title: 2012 Salary Reduction Agreement
Appears in 4 contracts
Samples: Salary Reduction Agreement, Salary Reduction Agreement, Salary Reduction Agreement
Indemnification of Employer. I UNDERSTAND that I am required to provide complete and accurate information to my TDA vendor and the consequences of not doing so as specified in Paragraph B on the back of this form. MY SIGNATURE below is my agreement to comply. Employee Signature: _ Date: Employer Signature: _ Title: 2012 2018 Salary Reduction Agreement
Appears in 3 contracts
Samples: Salary Reduction Agreement, Salary Reduction Agreement, Salary Reduction Agreement
Indemnification of Employer. I UNDERSTAND that I am required to provide complete and accurate information to my TDA vendor and the consequences of not doing so as specified in Paragraph B on the back of this form. MY SIGNATURE below is my agreement to comply. Employee Signature: _ Date: Employer Signature: _ Title: 2012 2013 Salary Reduction Agreement
Appears in 1 contract
Samples: Salary Reduction Agreement
Indemnification of Employer. I UNDERSTAND that I am required to provide complete and accurate information to my TDA vendor and the consequences of not doing so as specified in Paragraph B on the back of this form. MY SIGNATURE below is my agreement to comply. Employee Signature: Date: Employer Signature: Title: 2012 2018 Salary Reduction Agreement
Appears in 1 contract
Samples: Salary Reduction Agreement