CLACKAMAS COUNTY DEFERRED COMPENSATION PLAN PARTICIPATION AGREEMENT(Revised 9/2009)Deferred Compensation Plan Participation Agreement • September 24th, 2009
Contract Type FiledSeptember 24th, 2009NEW PARTICIPATION Name(Last)Address (Street) (City)Department /Division Name RESTART PAYROLL DEDUCTION (First) (State) INCREASE PAYROLL DEDUCTIONPARTICIPANT INFORMATIO (Middle Initial) (ZIP Code) DEFERRAL ELECTION DECREASE PAYROLL DEDUCTIONN Social Security # Date of Birth:Work Phone ( Home Phone ( STOP PAYROLL DEDUCTION Employee ID ) )