SUNY 403(b) VOLUNTARY SAVINGS PLAN
						    SALARY REDUCTION AGREEMENT



By THIS AGREEMENT, made between ____________________, an employee at ______________ campus and the State University of New York (employer),
the parties hereto agree as follows:


This Agreement represents a:  New Agreement: _______  Change to an existing Agreement: ______ 
(For new Agreements you will also need to submit an account enrollment form to the appropriate Investment Provider)
						Cancellation of existing Agreement:  ______

Effective with respect to amounts paid on or after _____________________, 20____, which date is subsequent to the execution of this 
agreement, or as soon as possible, thereafter, the employee's salary will be reduced by the amount indicated below.  
The employer will contribute that amount to the employee's account with:

	
	__	TIAA-CREF									_________________________________
	__ 	AIG Retirement*									Name of Investment Provider Agent
	__ 	ING* 
	__ 	MetLife*
	__	Fidelity*+								      	_____________________
										        	   Agent Phone Number

*Available to UUP and Unclassified MC employees only.
+403(b)(7) mutual fund account
			
The amount of the salary reduction will be $_______ per payroll period or $_______ per year (please select only one of these options and leave 
the other field blank).  This amount, together with any amounts previously or subsequently contributed during this calendar year through
Agreements with SUNY, or any other employer, must produce a total contribution that does not exceed the limitations of Internal Revenue Service (IRS) Code Section 415 
or Section 402(g), whichever is least.  Responsibility for assuring that total annual salary reduction contributions do not exceed the maximum exclusion allowance
defined in the IRS Code rests solely with the employee.

This Agreement shall be legally binding and irrevocable as to each of the parties hereto while employment continues and shall replace any
existing Agreement currently in effect.  Either party may terminate or modify this Agreement as of the end of any payroll period by giving 
at least 30 days written notice, so that this Agreement will not apply to salary subsequently paid.    


_______________________      _______________     __________________________                  __________________
Employee Signature	      Date               Social Security Number                      Date of Birth
                                                (Please include the last 4 digits only)

______________________________________			________________________________________
Campus or Daytime Phone					Email Address


		                  Please submit this form to your campus Human Resources or Payroll Office for processing
			
						    Administration Use Only Below This Line
__________________________________________________________________________________________________________________________________________________

____________________________		__________________
Employee Signature		        Date

Plan Type:   TDA (405)_____     SRA(404)_____     Fidelity (408)_____    AIG,ING,MetLife(415)______

Annual Contribution $______________    Catch-up Used?:  50+:_____   15 Year:_____  Date Deductions Begin:_______