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Begin by filling out the Employer Information section. Enter your Program Plan Number, Employer Tax ID Number, IRS Plan Number, Employer’s Name, and Business Phone Number.
In Section 2, Contribution Remittance, specify the contribution dollar amounts in the appropriate columns for each type of contribution. Ensure you refer to your plan’s Adoption Agreement for guidance on allowed types.
If applicable, complete Section 3 for Catch-Up Contributions. Fill in participant names and their respective catch-up amounts based on eligibility.
Proceed to Section 4 for Loan Repayment Remittance. Provide participant names, social security numbers, loan numbers, and repayment amounts.
In Section 5, calculate and enter the totals from previous sections to determine your Grand Total.
Finally, ensure all information is accurate before signing and dating the form as required in Section 7.
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Remit this form with your payment. Please include students name and Empl ID# on check. Allow 10 business days for mailing and processing time on paper checks.Read more
EMPLOYER REMITTANCE. State Form 51923 (R / 11-06) / CSB 0013. Approved by State Board of Accounts, 2006. DEPARTMENT OF CHILD SERVICES. Change of address forRead more
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