Required Participant Information Sample Clauses

Required Participant Information. SECTION I: Participant Information Employee Name (Printed) Employee ID 00000- Last four digits of SSN
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Required Participant Information. SECTION I: Participant Information Employee Name (Printed) Employee ID 00000- Last four digits of SSN Daytime Phone Number E-mail Address (to receive an e-mail confirmation) SECTION II: Begin/Change/Stop Effective Date: □ As soon as possible OR □ Later / / Traditional 403(b) (Pre-Tax) I WANT TO: □ BEGIN contributions □ CHANGE contribution □ Amountsand/or □ Company(ies) □ STOP contributions Xxxx 403(b) (Check date) (After-Tax) I WANT TO: □ BEGIN contributions □ CHANGE contribution □ Amountsand/or□Company(ies) □ STOP contributions Complete the section below only if you have selected to begin or change contributions Complete the section below only if you have selected to begin or Deduct $ total per paycheck Deduct $ total per paycheck □ All or □ %* to AIG Retirement Services □ All or □ %* to AIG Retirement Services □ All or □ %* to Equitable Advisors (AXA) □ All or □ %* toEquitable Advisors(AXA)
Sample 1
Required Participant Information. I, , request payment for training attended on the (Please print full name) date(s) of July 1, 2020 - August 10,2020 N/A_which took place at (Actual dates attended) (Time) Asynchonous Online Training Course Type #: N/A Course Event #: N/A (Location of training) TRAINING TITLE: FLDOE Computer Science Ed Certification (Part 2) (MUST BE EXACT) Participant Signature Social Security/EIN # Home Phone Cell Phone HOME MAILING ADDRESS:FL Street Apt. # City State Zip Code Home E-mail Address Work E-mail Address PRIVATE/CHARTER SCHOOL LOCATION # NAME: School Address (LOCATION INFORMATION MUST BE COMPLETED)
Sample 1
Required Participant Information. SECTION I: Participant Information Employee Name (Printed) Employee ID 00000- Last four digits of SSN Daytime Phone Number E-mail Address (to receive an e-mail confirmation) *IMPORANT: All changes to the 457(b) plan must be received by the end of the month prior to the requested effective date. (Treasury Regulation § 1.457-4(b)) (Ex: Any changes for any June checks must be received by the end of May)
Sample 1
Required Participant Information. SECTION I: Participant Information Employee Name (Printed) Xxxxxxxx XX 00000- Last four digits of SSN Daytime Phone Number E-mail Address (to receive an e-mail confirmation)
Sample 1

Related to Required Participant Information

  • Participant Information My address is: My Social Security Number is:

  • Relevant Information The Issuer shall cause each Service Provider having Relevant Information in its possession to make such Relevant Information available to the Administrator and the Manager not later than 1:00 p.m., New York City time, at least five Business Days prior to each Payment Date.

  • APPLICANT INFORMATION We are a child safe and equal opportunity employer. Applications from Aboriginal and Xxxxxx Xxxxxx Islander people, people with a disability and people from culturally and linguistically diverse backgrounds are encouraged. In addition, applications for positions that work with children must provide referees who can comment on their experience working with children. These roles also require a valid

  • Other Important Information Collection costs You agree to pay our reasonable costs for collecting amounts due, including reasonable attorneys’ fees and court costs incurred by us or another person or entity, to the extent not prohibited by applicable law and except as provided below.

  • Tenant Information Copies of the Leases and any financial statements or other financial information of any tenants under the Leases (and the Lease guarantors, if any), written information relative to the tenants’ payment histories, and tenant correspondence, to the extent Seller has the same in its possession;

  • Patient Information Each Party agrees to abide by all laws, rules, regulations, and orders of all applicable supranational, national, federal, state, provincial, and local governmental entities concerning the confidentiality or protection of patient identifiable information and/or patients’ protected health information, as defined by any other applicable legislation in the course of their performance under this Agreement.

  • Account Information The account balance and transaction history information may be limited to recent account information involving your accounts. Also, the availability of funds for transfer or withdrawal may be limited due to the processing time for any ATM deposit transactions and our Funds Availability Policy.

  • Disclosure of Account Information We may disclose information to third parties about Your Account or transfers You make: (1) when it is necessary to complete an electronic transaction; or (2) in order to verify the existence and conditions of Your Account for a third party such as a credit bureau or merchant; or (3) in order to comply with a government agency or court order, or any legal process; or (4) if You give Us written permission.

  • DEFECTIVE MANAGEMENT INFORMATION 5.1 The Supplier acknowledges that it is essential that the Authority receives timely and accurate Management Information pursuant to this Framework Agreement because Management Information is used by the Authority to inform strategic decision making and allows it to calculate the Management Charge.

  • Processing of Personal Information We treat your personal information confidentially and in accordance with applicable legislation. When you purchase insurance from us, we gather information in connection with enrolment, filing a claim and use of our digital platforms, e.g. civil registration number, telephone number, e-mail address, membership of Sygeforsikringen ”danmark”, industry, employment, marital status and any health information. This information is used to create and administer the insurance policy for use in case of a claim and in the ongoing case processing to ensure the best possible service and as part of sales management, product development, quality assurance, advice and determination of general user behaviour. We retain the gathered information for as long as neces- sary and in accordance with the applicable legislation. You can always contact us if you want to know which personal information we have registered about you. You are entitled to change incorrect information. On our website, xx-xxxxxxx.xx, you can read more about data security and how we handle your personal information. In some cases, we pass personal information about you to the suppliers with whom we cooperate.

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