Enrollment Form definition

Enrollment Form means an agreement pursuant to which an Eligible Employee may elect to enroll in the Plan, to authorize a new level of payroll deductions, or to stop payroll deductions and withdraw from an Offering Period.

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Enrollment Form means the form or forms provided by the Employer or Administrator for the purpose of allowing an Eligible Employee to participate in this Health Care FSA.

Enrollment Form means the agreement(s) between the Company and an Eligible Employee, in such written, electronic, or other format and/or pursuant to such written, electronic, or other process as may be established by the Administrator from time to time, pursuant to which an Eligible Employee elects to participate in the Plan or to which a Participant elects to make changes with respect to the Participant’s participation as permitted by the Plan.

Examples of Enrollment Form in a sentence

• You agree that all such fees and charges will be deducted from the Farmers Bank of Northern Missouri checking account designated as the "Primary Checking Account" on your Enrollment Form.

• Farmers Bank of Northern Missouri shall provide you, subject to the terms and conditions contained in the Agreement, with the service(s) that you requested as specified on the Enrollment Form which is made a part of this Agreement.

• The Internet Banking System can be used to access only the Farmers Bank of Northern Missouri accounts with the social security number that you have designated on your Enrollment Form.

• SCC or their designee, shall to the fullest extent possible ensure that the School Enrollment Form and its attachments (i.e. custody letter) are provided to the school liaison(s) for the assigned school for any school-aged child in SCC custody within 72 hours of any change in the child’s ▇▇▇▇▇▇ care status.

• Access to your accounts through the Internet Banking System will be based upon the identification of users and authority levels specified by you on your Enrollment Form.

More Definitions of Enrollment Form

Enrollment Form means the Enrollment/Change Form whereby an Optionee authorizes a Participating Employer to withhold payroll deductions from his or her Base Salary and is otherwise in such form as the Committee may specify.

Enrollment Form means your electronic “Auto Enroll” acceptance or paper enrollment form accepted by us that designates those of your Accounts that you wish to access using Online Banking and such additional services, including the Bill Payment Service or e-Statements Service, that you request to use and we may approve from time to time.

Enrollment Form means the Reinvestment Enrollment — Participant Declaration Form, available on Computershare’s self-service web portal at www.investorcentre.com;

Enrollment Form means the agreement to participate and related elections filed by a Participant pursuant to Section 5.1 of the 2005 Plan, in the form prescribed by the Committee, directing the Company to reduce the amount of Directors’ Fees otherwise currently payable to the Participant and credit such amount to the Participant’s Deferral Account hereunder.

Enrollment Form means the form provided by the Administrator for the purpose of allowing an eligible Employee to participate in this Plan.

Enrollment Form means the actual or deemed paper or electronic agreement by a Participant authorizing the Employer to reduce the Employee's Compensation while a Participant during the Plan Year for purposes of obtaining Benefits under the Plan.

Enrollment Form means the form, to be provided by the department, to be used by participants to enroll in a plan or to indicate a change in coverage.