To enroll in Extended Pay as a new 10-month employee, complete this form, and sign and return it to the Employee and Retiree Service Center (ERSC). This form must be signed at the bottom. You may fax enrollment forms to 301-279-3642/ 301-279-3651 or email an electronically signed PDF to ersc@mcpsmd.org. Please do not mail copies to ERSC once you have faxed or emailed the form. ERSC will send you confirmation of your enrollment in Extended Pay. Unsigned forms will be returned to you to sign and resubmit to ERSC.
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