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USTA Voluntary Employees Beneficiary Association Trust Salary Assignment/Cancellation Noncritical Illness Insurance Social Security #Name (last, first, me)STAVE Trust ID×Name of SchoolMembership

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How to fill out salary assignment form

01

Step 1: Obtain a salary assignment form from your employer or the HR department.

02

Step 2: Fill in your personal information, such as your full name, address, and contact details.

03

Step 3: Provide your employee identification number or Social Security number.

04

Step 4: Specify the date and period for which the salary assignment is applicable.

05

Step 5: Indicate your desired salary allocation, such as the amount to be deposited into different bank accounts or allocated towards savings, insurance, or retirement funds.

06

Step 6: Sign and date the form, certifying that the information provided is accurate and you authorize the assignments as specified.

07

Step 7: Submit the completed form to your employer or HR department for processing.

Who needs salary assignment form?

01

Any employee who wishes to allocate their salary to different bank accounts, savings plans, insurance premiums, or retirement funds may need to fill out a salary assignment form.

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