AUTHORIZATION FOR VOLUNTARY PAYROLL …

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 …

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Transcription of AUTHORIZATION FOR VOLUNTARY PAYROLL …

1 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)