Forms → Staff → Union → MCAAP/MCBOA Members Designation of Annual Leave to 403(b)/457(b) Plan Contribution or Cash Payout
Form number: 430-91B
Audience: MCAAP Members, MCBOA Members
Last revised: May 2022
Please complete, electronically sign, and save this form to your desktop or a folder. Send the signed PDF from your MCPS email account to ERSC@mcpsmd.org by June 3, 2022. The subject line of the email should be: MCAAP/MCBOA Annual Leave Conversion Form.
Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat