401(k) Contribution Authorization Form
This application allows for contributions from an employee's salary towards a PERA 401(k) tax-deferred annuity.
Fax this form to Employee Services at 303-860-4299. Enrollment and changes received by the 10th of the month will be effective that month.
Last updated: 9/20/2019
Download this form below. Then, fax this form to Employee Services.