Stock Option Election Form
Please complete the Stock Option Election Form to indicate how you wish to handle your stock options. Provide accurate identity, employment, and option grant details to ensure your election is processed correctly.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Employee ID
*
Job Title
*
Department
Option Grant ID
*
Option Grant Date
*
-
Month
-
Day
Year
Date
Number of Options Granted
*
Election Instruction
*
Exercise Options
Defer Exercise
Forfeit Options
Other
Additional Comments (optional)
Submit Election
Should be Empty: