Salary Reduction Agreement Sample Contracts

Salary Reduction Agreement for 403(b) and 457 Programs
Salary Reduction Agreement • August 12th, 2021
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Salary Reduction Agreement for 403(b)/403(b) Roth/457 TSA
Salary Reduction Agreement • September 20th, 2021
Salary Reduction Agreement for 403(b) and 457 Programs
Salary Reduction Agreement • June 16th, 2023
SALARY REDUCTION AGREEMENT
Salary Reduction Agreement • July 2nd, 2018

Please read information on form before completing and signing Pay period effective date: Last Name First Name Middle Initial Date of birth: Social Security Number Employee Address Date of hire: Number of pay periods per year: Employee Email Employer Name

Salary Reduction Agreement for 403(b) and 457 Programs
Salary Reduction Agreement • September 26th, 2022
Participant Instructions
Salary Reduction Agreement • March 14th, 2016

The Salary Reduction Agreement (SRA) is used to establish, change, or cancel salary reductions withheld from your paycheck and contributed to the 403(b) and/or 457(b) Plan on your behalf. The SRA is also used to change the investment providers that receive your contributions. Upon completion, fax or mail a copy of the form to National Benefit Services, LLC. Please note that this form is not valid unless all applicable sections are completed and you have signed the form. If you have questions regarding this form, please call 1-800-274-0503 ext 5.

Contract
Salary Reduction Agreement • July 10th, 2014
WESTBROOK-WALNUT GROVE
Salary Reduction Agreement • April 27th, 2019
SALARY REDUCTION AGREEMENT (SRA)
Salary Reduction Agreement • May 20th, 2016
Salary Reduction Agreement for 403(b) Programs
Salary Reduction Agreement • June 13th, 2021
Participant Instructions
Salary Reduction Agreement • April 7th, 2017

The Salary Reduction Agreement (SRA) is used to establish, change, or cancel salary reductions withheld from your paycheck and contributed to the 403(b) Plan on your behalf. The SRA is also used to change the investment providers that receive your contributions. Upon completion, fax or mail a copy of the form to National Benefit Services, LLC. Please note that this form is not valid unless all applicable sections are completed and you have signed the form. If you have questions regarding this form, please call 1-800-274-0503 ext 5.

Salary Reduction Agreement for 403(b)/403(b) Roth TSA with Match
Salary Reduction Agreement • September 20th, 2021
Participant Instructions
Salary Reduction Agreement • August 3rd, 2016

The Salary Reduction Agreement (SRA) is used to establish, change, or cancel salary reductions withheld from your paycheck and contributed to the 403(b) and/or 457(b) Plan on your behalf. The SRA is also used to change the investment providers that receive your contributions. Upon completion, fax or mail a copy of the form to National Benefit Services, LLC. Please note that this form is not valid unless all applicable sections are completed and you have signed the form. If you have questions regarding this form, please call 1-800-274-0503 ext 5.

SALARY REDUCTION AGREEMENT (SRA)
Salary Reduction Agreement • June 1st, 2020
Salary Reduction Agreement for 403(b)/403(b) Roth/457 TSA
Salary Reduction Agreement • August 10th, 2022
SALARY REDUCTION AGREEMENT (Yr 2023) FOR 403(b) and 403(b)(7) ACCOUNTS‌
Salary Reduction Agreement • November 1st, 2022
SALARY REDUCTION AGREEMENT
Salary Reduction Agreement • January 30th, 2020

Such amount shall be invested in accordance with the Custody Agreement(s) and as designated by the Employee. This agreement is binding and irrevocable with respect to amounts earned while the agreement is in effect. Either party may terminate the Agreement with respect to amounts not earned at the time of its termination. There may be up to a 10 working day processing delay in any changes requested after the Agreement is signed by both parties.

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Participant Instructions
Salary Reduction Agreement • February 6th, 2020

The Salary Reduction Agreement (SRA) is to be utilized to establish, change, or cancel salary reductions withheld from your paycheck and contributed to the 457(b) plan on your behalf. The SRA is also used to change the investment providers that receive your contributions. Upon completion, fax or mail a copy of the form to National Benefit Services, LLC. Please note that this form is not valid unless all applicable sections are completed and you have signed the form.

Contract
Salary Reduction Agreement • August 10th, 2018
Salary Reduction Agreement Processing Service
Salary Reduction Agreement • June 22nd, 2023

Grand Rapids CC is pleased to announce that enhancements are coming to the 403(b) Salary Reduction and 457(b) Participant Agreement (SRA) process. Effective 07-01-2023, election requests will be submitted through an online system. This system is provided by our 403(b) and 457(b) Plan Administrator, US OMNI and TSACG Compliance Services. (USOTCS). The online process eliminates the need for paper SRAs and allows 24-hour access for employees. All approved representatives of the District’s authorized investment provider companies will be able to assist employees with this online process.

Salary Reduction Agreement
Salary Reduction Agreement • November 15th, 2012

Effective with compensation paid after the date of this agreement, the Employee's salary will be reduced so the part of Compensation which otherwise would be paid to the employee directly will instead, be contributed as an elective deferral under the terms and provisions of Section 403(b) of the United States Internal Revenue Code of 1986, as amended. For this purpose, the University is authorized to reduce the amount of the employee's biweekly base salary by $ or % as of .

Participant Instructions
Salary Reduction Agreement • January 7th, 2020

The Salary Reduction Agreement (SRA) is utilized to establish, change, or cancel salary reductions withheld from your paycheck and contributed to the 403(b) Plan on your behalf. The SRA is also used to change the investment providers that receive your contributions. Upon completion, fax or mail a copy of the form to National Benefit Services, LLC. Please note that this form is not valid unless all applicable sections are completed and you have signed the form. If you have questions regarding this form, please call 1-800-274-0503 ext 5.

Contract
Salary Reduction Agreement • January 11th, 2012
Contract
Salary Reduction Agreement • February 26th, 2021

North East ISD403(b) Salary Reduction Agreement Participant InstructionsThe Salary Reduction Agreement (SRA) is used to establish, change, or cancel salary reductions withheld from your paycheck and contributed to the 403(b) Plan on your behalf. The SRA is also used to change the investment providers that receive your contributions. Upon completion, fax or mail a copy of the form to National Benefit Services, LLC. Please note that this form is not valid unless all applicable sections are completed and you have signed the form. If you have questions regarding this form, please call 1-800-274-0503 ext 5. Upon completion, fax (1-800-597-8206), securely email (403bsupport@nbsbenefits.com), or mail a copy of the form to National Benefit Services, LLC.Please allow 5 business days for processing. Salary Reduction Agreements received less than 5 business days prior to the SRA due date are not guaranteed to be processed for that SRA due date. Important InformationThe Employee agrees to indemnif

SALARY REDUCTION AGREEMENT
Salary Reduction Agreement • December 18th, 2017

This Agreement shall be legally binding and irrevocable for both the College and the Employee while employment continues. However, either party may terminate or modify this Agreement as of the end of any month by giving at least thirty days written notice so that this Agreement will not apply to salary subsequently paid.

SALARY REDUCTION AGREEMENT (Yr 2024) FOR 403(b) and 403(b)(7) ACCOUNTS
Salary Reduction Agreement • November 14th, 2023
SALARY REDUCTION AGREEMENT
Salary Reduction Agreement • September 28th, 2022
WITNESSETH
Salary Reduction Agreement • April 4th, 2008 • U.S. Helicopter CORP • Air transportation, scheduled
403b Salary Reduction Agreement
Salary Reduction Agreement • December 20th, 2019

Read this before completing this form: This salary reduction agreement does not establish a tax deferred annuity with a specific vendor but only authorizes the withholding of funds from your paycheck. For new enrollments, separate 403(b) enrollment applications must be requested from the vendor(s) you have chosen from the list of District-approved vendors (this list is available at the District office). Please return these separate enrollment application(s) to the District office along with this salary reduction agreement form.

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