SALARY DEFERRAL AGREEMENT (TDAPLN46)Salary Deferral Agreement • March 31st, 2023
Contract Type FiledMarch 31st, 2023SECTION 1—PARTICIPANT INFORMATION Employee Name: University 10-Digit ID: Campus: Department: Phone: Email: Pay Cycle: 26 Pay (Biweekly) 12 Pay (Monthly) 10 Pay (Monthly) Select the type of request your would like to make. Choose one option only. Initial enrollment or change to existing election.Defer all or a portion of my separation pay. Last date of IU employment is (mm/dd/yyyy):
SALARY DEFERRAL AGREEMENT (TDAPLN46)Salary Deferral Agreement • November 3rd, 2022
Contract Type FiledNovember 3rd, 2022SECTION 1—PARTICIPANT INFORMATION Employee Name: University 10-Digit ID: Campus: Department: Phone: Email: Pay Cycle: 26 Pay (Biweekly) 12 Pay (Monthly) 10 Pay (Monthly) Select the type of request your would like to make. Choose one option only.Initial enrollment or change to existing election.Defer all or a portion of my separation pay. Last date of IU employment is (mm/dd/yyyy):
SALARY DEFERRAL AGREEMENT (IURETS49)Salary Deferral Agreement • January 25th, 2022
Contract Type FiledJanuary 25th, 2022SECTION 1—PARTICIPANT INFORMATION Employee Name: University 10-Digit ID: Campus: Department: Phone: Email: Pay Cycle: 26 Pay (Biweekly) 12 Pay (Monthly) 10 Pay (Monthly) Select the type of request your would like to make. Choose one option only.Initial enrollment or change to existing election.Defer all or a portion of my separation pay. Last date of IU employment is (mm/dd/yyyy):