Instructions: This application is for members wishing to defer compensation from their hourly wage to the 401(k) plan on a pre-tax basis. It applies to participants whose employers are contributing on their behalf during September 2024 through August 2025. This enrollment period occurs once a year, with your updated election occurring with the first payroll period following September 1, 2024, the payroll period ending after August 31, 2025. If you wish to save to the 401(k) plan, please fill out the following information:
- Your basic information
- Amount you wish to defer: indicate the whole-dollar amount per hour you wish to defer (save) in the 401(k) plan
- Check the appropriate boxes indicating your situation and signature
- If you are first electing to make deferrals or changing your deferral amount, you’re done! But if you are currently contributing and wish to stop, fill out the “Termination of Deferrals” section.
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