MAKING YOUR CHOICES OPTING OUT OF SALARY SWAP FULL NAME: _____________________________________ NI NUMBER: _________________________________ CONTACT NUMBER: _________________________________ EMAIL ADDRESS: _________________________________ Following receipt of the company letter sent to me dated 3 September 2009, I hereby request that I wish to be opted out of Salary Swap until further notice. By doing this, I understand that if I were to change my mind, I would not be able to opt in to Salary Swap until April 2010. Signed: Date: _______________________________ _______________________________ Now please send this form to: Alison.Kay@carillionplc.com or The Pension Review Team Carillion plc Staffordshire House 84 Salop Street Wolverhampton WV3 0SR United Kingdom PLEASE ENSURE THIS FORM IS RECEIVED TO THE PENSION REVIEW TEAM BY 30TH SEPTEMBER 2009. IF YOUR REQUEST IS NOT RECEIVED BY THIS DATE, YOU WILL BE AUTOMATICALLY OPTED IN TO SALARY SWAP. YOU WILL THEN (IN NORMAL CIRCUMSTANCES) NOT BE ABLE TO OPT- OUT OF SALARY SWAP UNTIL APRIL 2011.
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