Authorization to deduct from payroll
[DOC File]UCSD PAYROLL DEDUCTION AUTHORIZATION FORM
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This memorandum serves as notification of a payroll deduction from your paycheck due to the outstanding debt owed the State of Tennessee for failure to return the property within three business days. The total debt owed will be $.
[DOC File]Repayment Agreement-draft
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I hereby authorize the State of Illinois or SIUE to deduct from my earnings $ each pay . period and continuous until revoked. I reserve the right to revoke this authorization at any time by submitting a written Revocation form. This deduction is to be in accordance with the established rules of the State Salary and Annuity Withholding Act. Faculty
[DOC File]Employee Notification of Payroll Deduction
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I understand this authorization shall remain in effect until I submit a new Voluntary Deduction Authorization form changing or canceling this authorization. _____ cancel my previous authorization to the organization named above effective with the payroll calendar. _____ _____ Month Year _____ I am a 10 pay employee.
[DOC File]Sample Letter - Notification of Payroll Overpayment ...
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Payroll Deduction Authorization. Employee Name: Social Security Number: --Position Number: ... I hereby authorize the State to deduct the appropriate amount as indicated below from my paycheck. I understand that at the time of my agency’s request or my termination, if I disagree with the amount of funds being deducted from my paycheck, I have ...
AUTHORIZATION FOR VOLUNTARY PAYROLL DEDUCTION
AUTHORIZATION FOR PAYROLL DEDUCTION: I agree with the . Statement of Facts . section above and agree to repay the agency with cash or personal check or authorize deduction of the amount as shown below from my payroll payment(s) in order to satisfy my overpayment. ( Please accept cash/personal check for the overpayment.
[DOC File]Voluntary Deduction Authorization
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PAYROLL DEDUCTION AUTHORIZATION. SUBRECIPIENT: Contract No: CONTRACTOR NAME: EMPLOYEE’s CERTIFICATION: I, hereby authorize (employee name) (contractor name) to deduct $ from my paycheck. This deduction pays for: (Mark all appropriate types) Loan Repayment Retirement Profit Sharing Advance Uniforms 401K Tools Materials Charitable Donations ...
[DOC File]Payroll Deduction Authorization - TDHCA
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___ I hereby authorize my employer to deduct $_____ from my wages on a . post-tax basis. ___ I hereby cancel my deduction for the purchase the Commuter Choice Program-Van Pool effective _____. *I understand that by participating in this voluntary program that my reported salary to the public employees retirement association (PERA) will be ...
[DOC File]Payroll Deduction Authorization - TN
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Authorization. I authorize each and every payroll deduction as delineated in the above schedule. Furthermore, should my employment at the University of Michigan end prior to the completion of the Repayment Schedule, I authorize a maximum payroll deduction allowed by law to be withheld from my final paycheck. I also agree to repay the University ...
[DOCX File]REVOCATION OF PAYROLL DEDUCTION
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UCSD PAYROLL DEDUCTION AUTHORIZATION FORM. For faculty/staff members of the University of California, San Diego . Please return this form to: UCSD, Gift Processing Department, Mail Code 0940. For more information call Sandra L. Stewart at x44493. EMPLOYEE (RECORD GIFT FROM): Name_____ Employee ID#_____
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