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Anaheim California online Form 5305-S: What You Should Know

All employees  shall be given a form(s) and an opportunity to enter into a written agreement in writing to establish an equal and equitable salary reduction.  This agreement may be either individual or group wage reduction with payment  to the employees in accordance with the requirements of California Civil Code Section  1202.4. The agreement may be made using the form(s) listed below.  (1) Minimum and total amount of salary reduction equal to  1.00 for each month the employee will receive the lower pay grade.  The total reduction will not exceed four weeks at a time.  The total reduction agreement must be submitted to HMC.  (2) Employee must execute the agreement in  Word. No photocopying of the agreement shall be permitted.  If employee does not agree with or sign the agreement the written agreement is no l have effect.  HMC reserves the right to rescind any agreement. If there is no agreement, there will be no reduction(s) to receive employee base pay.) HMC Anaheim Regional Medical center 1270 Lilibeth Blvd., Room 400 Anaheim, CA 92806 Anaheim Regional Medical Center, HMC Anaheim 1230 N. Fair Oaks Ave., Room 408 Anaheim, CA 92806 Uriah, CA; Fax HMC, Anaheim, CA 1220 N. Fair Oaks Ave. Lake Tahoe, Ca 91603 Uriah, CA For more information, contact: HMC Uriah, CA Email: hmcareyhmc.com Trent's Tip: In addition to submitting the Form 5305, you must have access to both Form 5305 (SIMPLE) and Form 5304 (SIMPLE) forms.

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