Uh form 82 rev Oct 2012 docx-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. 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.
  3. In the EFFECTIVE ON PAY DATE section, specify the date you want this agreement to take effect using the format Month/Day/Year.
  4. 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.
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  6. Finally, sign and date the EMPLOYEE SIGNATURE section to certify that you have read and understood the agreement.

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