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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out the EMPLOYEE INFORMATION section. Enter your name as it appears on the Payroll Notification Form, along with your UH number, campus/department, daytime phone number, and email address.
- In the EFFECTIVE ON PAY DATE section, specify the date you want this agreement to take effect using the format Month/Day/Year.
- Move to the CONTRIBUTION INFORMATION section. Check all applicable boxes for initiating or changing salary reductions and provide necessary details such as amounts and service provider information.
- Review the TERMS OF AGREEMENT carefully. Ensure you understand your responsibilities and rights under this program before signing.
- Finally, sign and date the EMPLOYEE SIGNATURE section to certify that you have read and understood the agreement.
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| 2016 | 4.8 Satisfied (145 Votes) |
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