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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:

application/pdf icon4J_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.