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E end of the pay period in which the first deduction will be made. I further understand this authorization will be terminated at any time I give written notice or in case of my separation for any reason. In either case, such termination will be effective only to prohibit further withholdings. 9. Date (MM-DD-YYYY) 8. Signature of Employee Requesting Allotment 10. Termination of Allotment (Check One): State: Association: I request payroll deduction for the following allotment be terminated on.

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Keywords relevant to Form 444

  • TDD
  • USC
  • NACs
  • FSA-444
  • NAFEC
  • FSA-6
  • nongovernmental
  • FSA-7
  • withholdings
  • 552a
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