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Salary Redirection Agreement

Dear CCSD Employees,

This is a reminder that all CCSD employees with CCSD-sponsored health or vision insurance must complete and return the Salary Redirection Agreement form to make your “pre-tax” election for any health or dental-vision coverage during 2025.

If you do not have CCSD-sponsored health or vision insurance, no form is required.

Submission Details:

  • Deadline: January 10, 2025
  • Submit To: Miriam Torres
  • Signature Requirement: Please ensure the form includes your wet signature.

Thank you for your prompt attention to this matter. If you have any questions, please feel free to contact Miriam Torres.

2025 Salary Redirection Agreement Form2025 Salary Redirection Agreement Form (Sample for Employees)
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