Payroll deduction authorization form

• [DOC File]UCSD PAYROLL DEDUCTION AUTHORIZATION FORM

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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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• [DOC File]Voluntary Deduction Authorization - LACCD

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  Payroll deductions for U.S. Savings Bonds may be terminated only at the time of completion of the purchase of a bond. LOS ANGELES COMMUNITY COLLEGES. Payroll Services, 5th Floor. 770 Wilshire Boulevard. Los Angeles, CA 90017 This form is only used to make or change to an existing voluntary payroll deduction. VOLUNTARY DEDUCTION AUTHORIZATION

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• [DOCX File]Microsoft Word - 2012 Payroll Deduction Authorization form

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  2014 Payroll Deduction Authorization for Health Savings Account . You may have your employer deduct your HSA contribution from your pay. Before deciding on the amount to be withheld each pay period: Review the annual contribution limits that fit your insurance coverage (Single or Family).

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• [DOCX File]REVOCATION OF PAYROLL DEDUCTION

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  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. Staff (paid Semi-monthly) Staff (paid Bi-weekly) Effective Pay Period

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• [DOC File]Repayment Agreement-draft

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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 ...

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• [DOC File]CULAC Payroll Deduction Authorization Form

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  My bi-weekly payroll deduction will continue until I notify Payroll in writing of any change. The submission of a new deduction authorization form will supersede any previous authorizations for this payroll deduction. I have the right to terminate this deduction at any time by providing written notification (or email) to the Payroll Department.

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• CULAC Payroll Deduction Authorization Form

  My _____ payroll deduction will continue until I notify Payroll in writing of any change. The submission of a new deduction authorization form will supersede any previous authorizations for this payroll deduction. I have the right to terminate this deduction at any time by providing written notification (or email) to the Payroll Department.

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• [DOC File]Sample Letter - Notification of Payroll Overpayment ...

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  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.

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• [DOC File]Commonwealth of Massachusetts

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  PAYROLL DEDUCTION AUTHORIZATION FORM (PDA) FOR INSURANCE OR OTHER EMPLOYEE DEDUCTIONS. New Deduction: ____ Change Deduction: ____ Please check one of the following:

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• [DOC File]Employee Notification of Payroll Deduction

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  The total debt owed will be $. If you disagree with the amount listed on the attached Payroll Deduction Authorization, you have the right to an immediate Pre-decision Meeting with a person who has direct access to the agency appointing authority for ...

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• [DOC File]Payroll Deduction Authorization Form - ECO -TEK

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  Title: Payroll Deduction Authorization Form Author: Chrissy Last modified by: Chrissy Created Date: 6/27/2008 4:42:00 PM Company: Indiana University

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• [DOC File]Payroll Deduction Authorization - Tennessee

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  Payroll Deduction Authorization. Employee Name: Social Security Number: --Position Number: I hereby acknowledge that I have received State funds and/or property and I am obligated to return the funds and/or property at the request of my agency or upon my termination from State government. I understand that the State funds and/or property are ...

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• [DOC File]PAYROLL DEDUCTION AUTHORIZATION

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  PAYROLL DEDUCTION AUTHORIZATION . Client Company Name: _____ I _____ authorize Merit Resources to deduct (print name of employee) payments of $_____ per pay period up to a maximum of $_____. I acknowledge that this deduction is for _____. Should I leave the employement of the Client Company before the debt is paid in full I authorize Merit ...

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• [DOC File]PAYROLL DEDUCTION AUTHORIZATON FORM

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  Therefore the deduction period could exceed 6 months. A new payroll deduction goal is not to commence before a prior payroll deduction goal has expired. Paperwork can be sent to payroll, but the commencement date of a new payroll deduction goal must be after the prior goal has fully expired and the full amount has been recovered from the employee.

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