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Third Year Trip Benefit
Full Name (Last Name, First Name)
BYUH ID #
Name, Birthdate of Eligible Dependents, Age in 2019
THIRD YEAR AMOUNT APPROVED FOR 2019:$775 per eligible employee and dependents. PAYMENT/TAXES: The third-year trip benefit is subject to federal, state, and FICA tax withholding. The total eligible amount will be paid in one or two installments after your anniversary date. ELIGIBLE SPOUSE & CHILDREN:Legally married spouse residing with employee are eligible for this benefit. Children under age 26 who are legally dependent upon you, and who are unmarried at the time of the trip is to be taken. Children under age two will not receive the benefit.
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Two Equal Payments
1 + 14 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.