Please complete and return the attached 403(b) form in order to receive the $175 board paid 403(b) payment for the 2015-16 school year. We cannot submit the payment without the completed form.
If you pull up the document on your computer screen you will be able to complete the form.
Please fill in the following:
Name of Company: Investment Company
Your Name
Social Security Number
Work Location
Position
$175 Employer Paid Benefits
Please print, sign, date and return the form to me.
If you have not set up a 403(b), please choose a company from the attached list. Contact the representative or company for the proper paperwork. Their paperwork must be completed before we can submit the payment in January 2016.
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