Request to Cancel Authorization for a Payroll Deduction

Maintained by:

Financial Services

Audience:

Employee

Purpose:

Use this form to request that elective deductions no longer be taken from your paycheck.

Function:

Form

Download File:

4J_FINSVC_request_cancel_auth_pr_deduction.pdf

Detailed Instructions

How to complete this Form:  Fill out this form on-line and then print it. Alternately, print this form and complete it by hand.

How to Submit this Form:  Submit a hard copy of this form.

Where to Send this Form:  Please return a hard copy of this form to Financial Services-Payroll.

Deadline:  Completed forms must be received in the Financial Services office by the 15th of the month in order for the change to take effect on that month’s paycheck.



Last updated on October 23, 2007 - 5:01pm