Common Contracts
2 similar Salary Reduction Agreement (Sra) contracts
SALARY REDUCTION AGREEMENT (SRA)Salary Reduction Agreement (Sra) • February 17th, 2009
Employee Information Employee Name Social Security No. Date of Birth Date of Hire Home Address City State Zip Home Phone Work Phone SchoolsFirst Federal Credit Union Acct No. (Optional) School District Name: School/Location Name (Select One) Classified Certificated Agent/Financial Advisor Name: Phone Number Number of Payroll Deductions Per Year (Select one)9 10 12 Other ---------------Action to be taken---------------(This request must be submitted 30 days prior to the effective date) Effective Date: Effective Pay Cycle Terminate participation (Use this form if you are terminating all Roth 403b deductions) Note: Please list ALL 403(b)deductions and ALL providers. ---------------Disclosure--------------- I understand and agree to the following:a. This Salary Reduction Agreement is legally binding and irrevocable with respect to amounts paid or available while this agreement is in effect; andb. This Salary Reduction Agreement may be terminated at any time for amounts not yet paid or
ContractSalary Reduction Agreement (Sra) • February 17th, 2009
Employee Information Employee Name Social Security No. Date of Birth Date of Hire Home Address City State Zip Home Phone Work Phone SchoolsFirst Federal Credit Union Acct No. (Optional) School District Name: School/Location Name (Select One) Classified Certificated Agent/Financial Advisor Name: Phone Number Number of Voluntary Deductions Per Year (Select one)9 10 12 Other ---------------Action to be taken---------------(This request must be submitted 30 days prior to the effective date) Effective Date: Effective Pay Cycle Terminate participation (Use this form if you are terminating all 403b deductions) ---------------Disclosure--------------- I understand and agree to the following:a. This Salary Reduction Agreement is legally binding and irrevocable with respect to amounts paid or available while this agreement is in effect; andb. This Salary Reduction Agreement may be terminated at any time for amounts not yet paid or available, and that a termination request is permanent and re
