Enrollment and Salary Deferral Agreement 2026

1. Click ‘Get Form’ to open the Enrollment and Salary Deferral Agreement in the editor.
2. Begin by entering your name, date, address, date of birth, date of hire, social security number, daytime phone number, and email address in the designated fields.
3. Indicate your election to participate in the 401(k) Plan by selecting a date. Specify the percentage or flat dollar amount you wish to contribute on a pre-tax basis.
4. Next, provide your after-tax Roth 401(k) contribution details by filling in the percentage or flat dollar amount for this option as well.
5. If eligible for catch-up contributions (age 50 or older), complete the relevant sections for both pre-tax and after-tax contributions.
6. Decide if you do not wish to make contributions at this time by checking the appropriate box.
7. Finally, sign and date the form at the bottom before submitting it to your plan administrator.

Start using our platform today to easily fill out your Enrollment and Salary Deferral Agreement for free!