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Authorization to Defer Compensation

RSA-1 ADC Authorization to Defer Compensation 07-11.pdf

Form Instructions

INSTRUCTIONS: ALABAMA AUTHORIZATION TO DEFER COMPENSATION (Form RSA-1 ADC) Alabama public employees use a form RSA-1 ADC to authorize deferring compensation as part of new enrollment in the state RSA-1 retirement fund program or to modify the amount of compensation deferred. This document can be obtained from the website of the Retirement Systems of Alabama. Alabama Authorization To Defer Compensation RSA-1 ADC Step 1: On the line labeled "From," enter your first, middle or maiden and last name. Alabama Authorization To Defer Compensation RSA-1 ADC Step 2: On the next blank line, enter your Social Security number. Alabama Authorization To Defer Compensation RSA-1 ADC Step 3: Check "New Enrollment" if you are enrolling in the RSA-1 program. Alabama Authorization To Defer Compensation RSA-1 ADC Step 4: Check "Restart" if you are restarting your involvement in RSA-1. Alabama Authorization To Defer Compensation RSA-1 ADC Step 5: Check "Increase Deferrals" if you wish to increase the amount of compensation to be deferred to your RSA-1 retirement fund. Alabama Authorization To Defer Compensation RSA-1 ADC Step 6: Check "Decrease Deferrals" if you wish to decrease the amount of compensation to be deferred to your RSA-1 retirement fund. Alabama Authorization To Defer Compensation RSA-1 ADC Step 7: Check "Sick/Annual Leave" if you wish to temporarily halt deferrals of compensation to your RSA-1 retirement fund for either of those reasons. Alabama Authorization To Defer Compensation RSA-1 ADC Step 8: Check "Stop Deferrals" if you wish to cease deferrals of compensation to your retirement fund. Alabama Authorization To Defer Compensation RSA-1 ADC Step 9: On the next blank line, enter the dollar amount you wish to have deferred per pay period to your RSA-1 retirement fund. Alabama Authorization To Defer Compensation RSA-1 ADC Step 10: On the next blank line, enter the date on which you wish for these deferrals to take effect. Note that this date cannot be any earlier than the first of the month following the date on which this form is submitted. Alabama Authorization To Defer Compensation RSA-1 ADC Step 11: Sign and date the bottom of the page. Alabama Authorization To Defer Compensation RSA-1 ADC Step 12: If you are requesting cessation of deferrals of compensation on grounds of financial compensation, a payroll officer must also sign and date the form.

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