For Agency Remittance Advice: FORM C. List of Employees With Salary Adjustments For Confirmation As
For Agency Remittance Advice: FORM C. List of Employees With Salary Adjustments For Confirmation As
For Agency Remittance Advice: FORM C. List of Employees With Salary Adjustments For Confirmation As
Agency BP Number:
Member BP Employment
Number Last Name First Name Suffix MI Salary Effectivity Date Position status
Note: No need to attach the Notice Of Salary Adjustment (NOSA) and Notice of Salary Increase (NOSI)