Employee Payroll Deduction - Payroll Deduction Form
This form may be used to set up a new deduction or change a current deduction.
Items to Note:
- If you wish to change your deduction, please list the new total monthly amount you wish to have deducted from your paycheck.
- For your deduction to be split between two separate funds, please include the fund names and amounts in the Comments section.
- This deduction will be ongoing until you notify the Foundation to stop or make a change.
- Changes after the 10th of the month will be effective the next month.
- Please list whole numbers only.