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)

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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Transcription of AUTHORIZATION FOR VOLUNTARY PAYROLL DEDUCTION

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)