VOLUNTARY DEDUCTION AGREEMENT Dailey Fitness CenterVoluntary Deduction Agreement • April 23rd, 2021
This authorization will be effective the first day of the following month with the payroll deduction coming out once a month from the last pay period in the month. If you would like to use the center in the current month, please take a copy of this authorization to the center and you can pay a prorated fee for the remainder of this month.
VOLUNTARY DEDUCTION AGREEMENT Dailey Fitness CenterVoluntary Deduction Agreement • January 15th, 2014
This authorization will be effective the first day of the following month with the payroll deduction coming out once a month from the last pay period in the month. If you would like to use the center in the current month, please take a copy of this authorization to the center and you can pay a prorated fee for the remainder of this month. No more than two (2) adults over age 18 can participate in the Family (3-5) membership without paying an additional $12.50.
CITY of LITTLE ROCK Jim Dailey Fitness & Aquatic Center Voluntary Deduction AgreementVoluntary Deduction Agreement • March 25th, 2022
This authorization will be effective the first day of the following month with payroll deduction coming out once a month from the last pay period in the month. If you would like to use the Center in the current month, please take a copy of this authorization to the Center.
Voluntary Deduction FormVoluntary Deduction Agreement • September 24th, 2014
Employee name (please print) Employee ID number I authorize the University of Hartford to deduct the amount of $ from each pay period.
U N I V E R S I T Y O F I L L I N O I SVoluntary Deduction Agreement • August 15th, 2007
❑ After the employee and the agency agree upon an amount the employee must complete a Voluntary Deduction Agreement form, sign and forward it to University Payroll & Benefits (Office of University Payroll & Benefits, Room 110, M/C 547, 809 S. Marshfield Avenue, Chicago, Illinois 60619)
