Common Contracts

CITY OF MADISON

Joinder Agreement • January 24th, 2020

• Contract Type
  Joinder Agreement
• Filed
  January 24th, 2020

PARTICIPANT INFORMATION  ENROLLMENT or  CHANGE Marital Status (circle one): Single, Married, Divorced or Separated Legal Name of Employee Social Security No. Address Occupation City St Zip Employment Date Date of Birth E-mail address Phone Day: Eve : DEFERRAL ELECTION  CHANGE NOTE: Any changes made in this section will supersede any previous elections. If left blank it is assumed as a “0”.I Hereby Authorize the City of Madison to defer the following amount per pay period of my compensation, as defined in the Plan, and contribute such amount on my behalf to the Plan. I understand that this may be changed from time to time in accordance with the Plan rules and that no withdrawals from my account may be made unless they meet the requirements of the Plan. Please refer to Annual Deferral Limits on page 2. Please start my salary deferrals as of (mm/dd/yyyy). This date coincides with a published calendar paydate. NOTE: New enrollments may begin no earlier than in the month following date o