FBC Salary Reduction Agreement
    San Diego County
    Riverside County(Roth)
        Riverside County(non-Roth)
        Corona Norco Unified
        Desert Sands Unified
        Imperial County

Use this form to begin, stop, or change amounts that will be withheld by payroll as 403(b) or 457(b) contributions regardless of which approved vendor is receiving the funds.

Submit the ORIGINAL to your District Payroll Office

Fax a copy to (800) 597-8206.

A $1.50 per month is charged by NBS for each employee pro rata with an account balance in the plan for general plan administration and compliance services. Please check with your Investment Provider(s) to verify any separate vendor fees that may be associated with your account.