SUPPLEMENTAL RETIREMENT ACCOUNT (SRA) 403(b) and 457(b) PLAN(S) SALARY REDUCTION AGREEMENTSalary Reduction Agreement • April 2nd, 2019
Contract Type FiledApril 2nd, 2019Employee Name: Last, First MI (PLEASE PRINT) Date of Birth: Employee SSN# (last 4 digits): XXX-XX- Reason for completing form:New Hire / Newly Benefit Eligible Changing Contribution Amount(s) Existing Employee / New Participant Home Phone #: Work Phone #: