AUTHORIZATION FOR VOLUNTARY PAYROLL DEDUCTION
FOR VOLUNTARY PAYROLL DEDUCTION Allowed under RSA 275:48 I I, hereby authorize (Print employee’s name) to deduct from my wages (Employer) for: (reason for the deduction) the sum of $ , beginning and ending (Amount) (Date) (Date) until the total amount of $ has been deducted. (Amount) I am authorizing this voluntary deduction as specified in ...
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