Employee’s Full Name Email Address OSU Employee ID# (required)March 12th, 2013
FiledMarch 12th, 2013authorize and direct the university to reduce my eligible compensation by the amount indicated below and to submit that amount to the 457(b) provider elected below or stop my 457(b) contributions, as indicated below, to be effective on or as soon as administratively feasible and allowed according to IRS and plan document rules.