Make a contribution

Use the form below to initiate a one-time or recurring contribution to your 401(k). If the contribution date is immediate, the ACH transfer will be initiated within one business day of receipt of the contribution request and your funds will be visible in your Alerus account within three to four business days.

Note: Prior to submitting the contribution request form below, you must first complete the ACH Authorization form. If you have not completed the authorization form, please email solok@accessretirementsolutions.com to have the DocuSign resent to you. Your contribution cannot be processed until the ACH Authorization has been submitted.

First Name: Last Name: Email: Contribution Type:

One-Time Contribution Recurring Contribution

Contribution Date:

Frequency:

Monthly Quarterly Annually

Date of First Recurring Contribution: Date of Second Recurring Contribution:

Employee 401(k) Deferral Amount ($): Roth Amount ($): After Tax Amount ($): Employer Nonelective Amount ($): Contribution Total:

$0.00

Authorization:

By checking this box and submitting this form, I authorize the ACH transfer for the contribution total above from the account previously provided on the ACH Authorization form. I understand that the draft is final and cannot be refunded.