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Click ‘Get Form’ to open the valic payroll deduction form in the editor.
Begin by selecting the applicable plan: either 403(b), 457(b), or both. Check the appropriate box for New Enrollment or Contribution Amount Change.
Fill in your employer's name and your personal information, including your name, Social Security number, date of birth, address, phone number, date of hire, employee number, GA number, and present annual salary.
Indicate your desired salary reduction contributions for the 403(b) plan by specifying an amount per pay period or a percentage of compensation. Repeat this for the 457(b) plan as well.
Review the terms regarding contribution limits and termination conditions. Ensure you understand that this agreement supersedes any prior agreements.
Sign and date the form at the bottom as both participant and employer to finalize your submission.

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