Faculty and Staff Payroll Deduction Form

Payroll Deduction Form

1. Your Information:
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Employee Information
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2. Please Designate My Gift To:
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3. Split Gift Options (Optional)
Check the box below if you would like to split your gift with a second fund.
4. Payroll Deduction Options
*Your gift will be deducted per pay period of each month.
A minimum of $5 per pay period is required for payroll deduction.
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5. Matching Gifts (Optional)
Does your spouse or partner work for a company that will match your charitable contribution? If so, this is a wonderful way to extend impact of your donation.
6. Other (Optional)
In your own words, tell us why you are All In for HCC Students.