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Authorization For Voluntary Payroll Deduction: (Print Employee's Name)

The employee authorizes their employer to make a voluntary payroll deduction for a specified reason over a set period of time. The deduction will be for a set amount in Philippine Pesos (PhP) beginning on a start date and ending on an end date, or until the total amount has been deducted. The employee acknowledges authorizing the deduction in exchange for a good or service received and indicates whether the remaining balance can or cannot be deducted from final wages if employment ends before the full deduction is made.

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Paul Michael Santiago
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115 views

Authorization For Voluntary Payroll Deduction: (Print Employee's Name)

The employee authorizes their employer to make a voluntary payroll deduction for a specified reason over a set period of time. The deduction will be for a set amount in Philippine Pesos (PhP) beginning on a start date and ending on an end date, or until the total amount has been deducted. The employee acknowledges authorizing the deduction in exchange for a good or service received and indicates whether the remaining balance can or cannot be deducted from final wages if employment ends before the full deduction is made.

Uploaded by

Paul Michael Santiago
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AUTHORIZATION

FOR VOLUNTARY PAYROLL DEDUCTION

I, hereby authorize
(Print employee’s name)
to deduct from my wages
(Employer)

for:
(reason for the deduction)

the sum of PhP , beginning and ending


(Amount) (Date) (Date)

until the total amount of PhP has been deducted.


(Amount)

I am authorizing this voluntary deduction in exchange for the good/service I have


received from the said transaction. In the event my employment ends for any reason
before the final deduction is made, the entire balance:

may, or;

may not be deducted from my final wages.

(Employee’s Signature) (Date signed)

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