Bonus 401k Form

This file is used for taking a portion of your bonus into your 401k plan. Up to 75% as per current contract.

Make sure that you fill out your name, social security number, the percentage amount, your signature, the date and your badge #.

Return options:

By faxed to 925-439-6179,

Drop it in the box located in the Payroll lobby 

Email directly to Yvonne or Karen at  (925-439-6867) [email protected]