401k waiver form 2026

1. Click ‘Get Form’ to open the 401(k) Retirement Enrollment & Waiver Form in the editor.
2. Begin by selecting whether you wish to enroll in the 401(k) Retirement Plan or waive participation. Check the appropriate box.
3. Fill in your personal details, including your Full Name, Phone Number, Social Security Number, Email Address, Home Address, City, State, and Zip Code.
4. Enter your Date of Birth and Date of Hire in the specified format (mm/dd/yyyy).
5. Review all entered information for accuracy before signing. Add your Signature and Date at the bottom of the form.
6. Once completed, save your document and send it to Synergy’s Benefit department via fax or email as provided.

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