HAR §14-44-2. Application for enrollment

(a) An application for enrollment shall be made on the participation agreement form prescribed by the board and shall be filed with the administrator. (b) An applicant for enrollment shall enter on the participation agreement form the following: (1) Identifying information, including name, social security number, date of birth, home address, and home telephone num?er; (2) Employment information, including employer, department, division, business telephone number, and annual salary; (3) Designations allowed under the plan, including investment preference, amount of compensation to be deferred per pay period per investment product, normal retirement age, and beneficiary; and (4) Signature to indicate that the applicant: (A) Agrees to the provisions of the plan, which are incorporated by reference; (B} Authorizes disclosure of any information necessary for the administration of the plan; and (C) Certifies that the information furnished on the form is true and correct to the best of the applicant's knowledge and belief. [Eff 5/12/83; comp OCT - 7 2023 ] (Auth: HRS §8 8E­ 3) (Imp: HRS §§88E-2, 88E-3)