2019 Compliance Edge® Program

Please provide all required (*) information below:
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*Approval: I approve the 2019 Annual Retirement Benefits Guide for printing.
*District or College Name:
*State:
*Contact Name and Title:
(responsible for receiving
and distributing shipment)
Name:

Title:
*Contact Email:
*Contact Phone:
*Name and Title of Individual Responsible for Retirement Benefits: Note: This is the individual whose name will be printed on the "Meeting Outline" which will accompany the books in each center/work site box. This person may be different from the "Contact Name and Title" requested above.

Benefit Representative Name:

Benefit Representative Title:
*Shipping Information:
(Freight)
Your "Annual Retirement Benefits Guides" will be delivered by a freight shipping service. Please ensure that your address accommodates this delivery method. Please let us know if your facility is more than 65 feet from the access road (in order to ensure inside delivery). Please note that Post Office Boxes (P.O. Boxes) cannot be used.

Shipping information correct as provided in email from Publications Team.

I need to make a shipping correction to the information provided in the email from the Publications Team (list corrections below).

Address1:
Address2:
City: State: Zip:
Freight Special Handling: TSACG must notify the freight company if one of the following situations applies to your delivery location. If not reported, your delivery may be left unattended by the freight company or be inaccessible and/or returned as undeliverable.

My delivery location is more than 65 feet from the access road.
Yes No

My delivery requires inside delivery.
Yes No

My delivery location has limited access for delivery.
Yes No

My Delivery location requires a lift gate and/or inside delivery, or has limited access for delivery. (Note: we must notify the freight company of the requirements. Please list which of these are necessary for your delivery location in the below box.)
Yes No

Other Instructions:
Spring Break 2019: Please let us know when your Spring Break is scheduled for 2019:


Does your receiving/warehouse facilities accept deliveries during Spring Break?
Yes No
Last Day of School: Please let us know when your last day of school is scheduled:
*Plan Types Allowed: Plan type(s) correct as provided in email from Publications Team.

I need to make a plan type and/or handbook correction to the information provided in the email from the Publications Team.

Plan Type Changes:
*Estimated Number of Full-Time Employees:
*Estimated Number of substitutes, adjuncts, part-time, seasonal, etc.
General Comments:
Click Here to view the full size sample cover for 2019.