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  • Payroll Deduction Authorization Form

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    Bernardino Jr Antonio
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    The document is an authorization form for voluntary payroll deductions from an employee's wages. It allows the employer to deduct a specified amount between set dates for a stated reason. The employee authorizes the deductions in accordance with RSA 275:48 I and indicates whether the remaining balance can be deducted from final wages if employment ends before the deductions are complete.

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    Original Title

    Payroll Deduction

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    The document is an authorization form for voluntary payroll deductions from an employee's wages. It allows the employer to deduct a specified amount between set dates for a stated reason. The employee authorizes the deductions in accordance with RSA 275:48 I and indicates whether the remaining balance can be deducted from final wages if employment ends before the deductions are complete.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    905 views1 page

    Payroll Deduction Authorization Form

    Uploaded by

    Bernardino Jr Antonio
    The document is an authorization form for voluntary payroll deductions from an employee's wages. It allows the employer to deduct a specified amount between set dates for a stated reason. The employee authorizes the deductions in accordance with RSA 275:48 I and indicates whether the remaining balance can be deducted from final wages if employment ends before the deductions are complete.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    AUTHORIZATION

    FOR VOLUNTARY PAYROLL DEDUCTION


    Allowed under RSA 275:48 I

    I, hereby authorize
    (Print employees 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 RSA 275:48 I.

    In the event my employment ends for any reason before the final deduction is made, the

    entire balance may (X) or may not (X) be deducted from my final wages.

    (Employees Signature) (Date signed)

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