2021 DFSA Plan Election Change







    First Name:

    Last Name:

    Company

    Plan Name

    Email:

    Would you like to amend the plan to increase the DFSA limit or retain the limit currently in place?

    Note: In the absence of an election, the DFSA plan limit will remain at a maximum of $5,000 for 2021 and no amendment will be drafted for the option set forth under the ARPA.