Revocation of Election to Pay Extra Salary Deductions to Provide for Additional Annuity at Retirement – Tier 1 and Tier 2

Category: #215 | Membership and Service Credit , Application Form , Tier 1 , Tier 2

Document Type: Application Form

Tier Number: Tier 1, Tier 2

File Number: 215

Form #215
File this form if you elected to contribute 50 percent more than your normal rate of contribution and now wish to cancel this election.