SALARY REDUCTION AGREEMENTSalary Reduction Agreement • April 24th, 2023
Contract Type FiledApril 24th, 2023Effective 9/15/2023 (insert date salary reduction is to commence). I request my employer to reduce my taxable wages by the sum of the amounts noted below for the 2023-2024 fiscal year. I understand that this total amount will be deducted pro rata during each payroll period over the year. The amount of this total reduction shall be allocated to my spending accounts as follows (check each spending account desired and fill in blank spaces as appropriate):