Pay Deferral Election Form

Voluntary Savings and Union PAC Fund

All members are allowed to contribute to voluntary Savings Program and/or the Union PAC Fund. Any member who chooses to have Savings and/or Union PAC Funds deducted from their paycheck will be required to complete a Pay Deferral Election Form. These forms will be kept on file with the Union and the Data Center. A new form will not be required when members change employers. Members will have their elected Savings/Union PAC Fund Plan withholding amounts included on a new referral or dispatch form.

Members who choose to have Savings Plan deductions, must complete the Pay Deferral Election Form provided below, fax the completed form to the Data Center at (312) 421-6724 and notify you of their savings elections.

All Pay Deferral Election Forms received will be entered into WebCore. Savings payroll deductions will then be calculated.


MB Financial Customer Identification Program (CIP) Form

By law, all members who participate in the Savings Plan, must complete an MB Financial Customer Identification Program (CIP) Form in order to create a savings account.

If your employees want to enroll in the Savings Plan, please have them complete the MB Financial (CIP) Forms below and fax it to the Data Center at (312) 421-6724. New accounts will not be created when an existing savings account is still active.