Commonwealth of Virginia Department of Accounts FBMC 403 b Salary Reduction Agreement Form FBMC Benefits Management Inc. P. FBMC. com Instructions Use this form if you wish to direct your Employer to reduce your compensation and direct this compensation to become an elective deferral under your Employer s 403 b Program or if you want to change your existing Salary Reduction Agreement.

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How to fill out the Fbmc Salary Reduction Agreement Form online

The Fbmc Salary Reduction Agreement Form allows users to direct their employer to reduce their compensation for enrollment in a 403(b) program. This guide provides a clear, step-by-step approach to completing the form online with ease.

Follow the steps to complete the Fbmc Salary Reduction Agreement Form online.

  1. Press the ‘Get Form’ button to access the Fbmc Salary Reduction Agreement Form and open it in your chosen editing program.
  2. Begin filling out the Participant Information section. Provide your first name, middle initial, last name, home address, city, state, ZIP code, home phone number, employee ID number, work phone number, birth date, and date of hire.
  3. Move to the Employer Information section. Fill in the name of your current employer, site, or division, including the agency code and employer telephone number.
  4. In the Agreement section, indicate if this is a change of provider by selecting either ‘No’ or ‘Yes.’ If you choose ‘Yes,’ provide the name of the current provider and the name of the new provider.
  5. Specify the amount you wish to reduce your eligible compensation by, either in dollars or as a percentage for each pay period. Include the effective date of this reduction.
  6. Review the information related to catch-up contributions if you are age 50 or older and ensure you understand the limits on salary reduction contributions.
  7. In the Signatures section, provide your signature and the date. Additionally, secure the necessary signatures from your agent and employer or administrator.
  8. Once you have filled in all sections accurately, save your changes, then choose to download, print, or share the completed form as needed.

Complete your Fbmc Salary Reduction Agreement Form online today for efficient processing.

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