Transcription of AUTHORIZATION FOR VOLUNTARY PAYROLL DEDUCTION
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AUTHORIZATION FOR VOLUNTARY PAYROLL DEDUCTION
AUTHORIZATIONFOR VOLUNTARY PAYROLL DEDUCTIONA llowed under RSA 275:48 II,hereby authorize(Print employee s name)to deduct from my wages(Employer)for:(reason for the DEDUCTION )the sum of $, beginningand ending(Amount)(Date)(Date)until the total amount of $has been deducted.(Amount)I am authorizing this VOLUNTARY DEDUCTION as specified in RSA 275:48 the event my employment ends for any reason before the final DEDUCTION is made, theentire balance may(X) or may not (X) be deducted from my final wages.(Employee s Signature)(Date signed)
AUTHORIZATION FOR VOLUNTARY PAYROLL DEDUCTION Allowed under RSA 275:48 I I, hereby authorize (Print employee’s name) to deduct from my wages (Employer)
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