SeeSalary Reduction Agreement • July 10th, 2020
Contract Type FiledJuly 10th, 2020Please read information on reverse side before completing Employee ID Effective As soon as possible Date: Later: See #7, p. 2 (Paycheck date) mm/dd/yyyy PART I: Employee Information Name Last First Middle Number of Pay Periods per Year9* 12 26 University of Wisconsin InstitutionUW- Work phone number This year I contributed to anotheremployer's voluntary retirement plan.Yes No E-mail Address Date of Birth I am age 50 or older this year.Yes No I own more than 50% of a business andhave a retirement plan with that business.Yes No *For those with 9-month appointments, contributions are taken only 9 times annually; no deductions are taken during the summer. PART II: Begin/Resume/Change I authorize the University to reduce my salary to allowfor the purchase of a 403(b)supplemental retirement benefit on my behalf and to remit the designated amounts each pay period to the provider(s) indicated below. I have read and will abide by the Participant Obligations stated on the reverse side of thi
SALARY REDUCTION AGREEMENTSalary Reduction Agreement • August 12th, 2019
Contract Type FiledAugust 12th, 2019Please read information on reverse side before completing Employee ID Effective As soon as possibleDate: Later: See #7, p. 2 (Paycheck date) mm/dd/yyyy PART I: Employee Information Name Last First Middle Number of Pay Periods per Year9* 12 26 University of Wisconsin InstitutionUW- Work phone number This year I contributed to another employer's voluntary retirement plan.Yes No E-mail Address I am age 50 or older this year.Yes No I own more than 50% of a business andhave a retirement plan with that business.Yes No *For those with 9-month appointments, contributions are taken only 9 times annually; no deductions are taken during the summer. PART II: Begin/Resume/Change I authorize the University to reduce my salary to allow for the purchase of a 403(b) supplemental retirement benefit on my behalf and to remit the designated amounts each pay period to the provider(s) indicated below. I have read and will abide by the Participant Obligations stated on the reverse side of this agreem