Employee Signature. I certify that I have read and understand this complete agreement, and that my salary reductions do not exceed contribution limits as determined by applicable law. Check each applicable statement below: I have opened my Provider Account I have been employed by the University of Massachusetts within the past year. Employee Signature: Date: Part 4 Benefit Administrator Section Name Signature Date received Date entered in Payroll System
Appears in 13 contracts
Samples: www.mass.edu, www.middlesex.mass.edu, www.fitchburgstate.edu
Employee Signature. I certify that I have read and understand this complete agreement, and that my salary reductions do not exceed contribution limits as determined by applicable law. Check each applicable statement below: I have opened my Provider Account I have been employed by the University of Massachusetts within the past year. Employee Signature: Date: _ Part 4 Benefit Administrator Section Name Signature Date received Date entered in Payroll System
Appears in 1 contract
Samples: www.middlesex.mass.edu
