Employment

Payroll Deduction Authorization

Vicky Randolph Vicky Randolph
How To Use

This review list is provided to inform you about this document in question and assist you in its preparation.  This is simply good housekeeping to get these requests signed and in the employees’ files. There are a host of reasons to do so and none suggesting it is a problem.

  1. Have the employee sign two copies, one for their records and one for the files.

Payroll Deduction Authorization

I, ________________________, authorize Employer to deduct the following Amount of Deduction, $_________, from my gross earnings for each payroll period beginning ______________ as detailed below:
_______________________________________________________________________________________________________________________________________

This Deduction shall be for:
_______________________________________________________________________________________________________________________________________

__________________
Date                    

__________________
Employee Name