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Lowell Public Schools

Achieving Excellence

Forms

Federal Withholding Form (W-4)

fw4.pdf 173.45 KB (Last Modified on January 23, 2020)

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State Withholding Form (M4)

dor-withholding-form-m-4.pdf 87.17 KB (Last Modified on January 23, 2020)

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Change of Name, Address, or Phone

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Change_of_Name_Address_or_Telephone.pdf 19.49 KB (Last Modified on October 7, 2016)

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Direct Deposit

Direct_Deposit.pdf 370.67 KB (Last Modified on October 7, 2016)

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Pay Schedule Change Form

Pay_Schedule_Change_Form.pdf 12.13 KB (Last Modified on October 7, 2016)

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Mandatory OBRA 457(b) Enrollment Form

98966-02_Enrollment.pdf 320.94 KB (Last Modified on October 7, 2016)

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403(b) Plan Forms

403(b) Salary Reduction Agreement (SRA)

TSA SRA Form.pdf 333.18 KB (Last Modified on July 26, 2019)

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403(b) Transaction Routing Form

TSA TR Form.pdf 329.93 KB (Last Modified on July 26, 2019)

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