Personal InformationDeferred Compensation Plan Participation Agreement • August 30th, 2019
Contract Type FiledAugust 30th, 2019Select Action: ⬜ New Enrollment ⬜ Re-Enrollment ⬜ Change of Address ⬜ Beneficiary Change ⬜ Name Change Employer Name: Town of Rowe Employer ID: 0059288-001 Name: SSN: Date of Birth: Gender: ⬜ Male ⬜ Female Address: City, State, & ZIP: Home Phone Number: Work Phone Number: Email Address: