SALARY REDUCTION AGREEMENT (SRA)Reduction Agreement • October 29th, 2008
Contract Type FiledOctober 29th, 2008Employee Information Employee Name Social Security No. Date of Birth Date of Hire Home Address City State Zip California Home Phone Work Phone SchoolsFirst Federal Credit Union Acct No. (Optional) School District Name: School/Location Name (Select One) Classified Certificated Agent/Financial Advisor Name: Phone Number Number of Voluntary Deductions Per Year (Select one)9 10 12 Other ---------------Action to be taken---------------(This request must be submitted 30 days prior to the effective date) Effective Date: Next available pay cycle Later Pay Cycle Check One: ⇒Begin or Resume Contributions (If you have NO current contributions)Change Future Contribution Amounts (Please list ALL future contributions below) Change Future Contribution Companies (Please list ALL future contributions below)Change Future Contribution Amounts and Companies (Please list ALL future contributions below) Terminate participation (If you are not terminating ALL providers, please choose one of the option