Forms → Staff → Union → 12-month MCEA Members Designation of Annual Leave to Contribute to 403(b) Plan

12-month MCEA Members Designation of Annual Leave to Contribute to 403(b) Plan

About this Form

Form number: 430-91

Audience:  MCEA Members

Last revised: May 2022

Please save this completed form, with electronic signature, to your desktop or a folder

and send the PDF from your MCPS email account to ERSC@mcpsmd.org BY June 3, 2022

Adobe PDF 12-month MCEA Members Designation of Annual Leave to Contribute to 403(b) Plan133 KEnglish

Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat