PDF
…Revenue Code. If I terminate employment with my Employer,
automatically terminate, or if WSU-ICAA terminates the Plan, this Agreement shall
EMPLOYEE INFORMATION
Employee Name (First, M.I., Last) PLEASE PRINT
EMPLOYEE WSU ID #
Employee Signature
DATE
OFFICE USE ONLY:
Eligibility Date:
First Contribution PR#
, CY
Pay Date:
https://www.wichita.edu/services/humanresources/Organizational_Development/New_Employee_Resources/NEO_Online/ICAA/ICAA_VOL_2025_VOYA_Enrollment_Form.pdf