payroll@eESIpeo.com p: 210.495.1171

Vacation Club Account: Withdrawal

By requesting an early withdrawal (before April 30th), I understand that I am forfeiting ALL interest on ALL my Vacation Club Account funds for the entire program year (May 1st to April 30th).

I understand that eEmployers Solutions will deduct a $5.00 administration fee and process my request within 21 calendar days of receipt. I will receive my funds in the same method of delivery as my regular scheduled paychecks. After ONE early withdrawal request during the current program year, I further understand that eESI will stop payroll deductions for the Vacation Club Account and send me all remaining savings funds, less related fees.

I will not be able to re-enroll in the program until the next program year which starts May 1st. Therefore, the earliest deductions would be the first pay check in May.

Please ensure that your address and/or bank account information is up to date in the Employee Portal to ensure proper receipt of funds.

Please complete the form below and email to payroll@eESIpeo.com.

Employee Name: ___________________________________________________________ SSN: _______________________

Client Company Name: ____________________________________________________________

I have read the above information about the Vacation Club Account and I understand the terms and conditions. Please withdrawal ALL my funds.

Employee Signature Date: _________________________________________