Employee Voluntary Tuition Deduction Form

Employee Voluntary Payroll Deduction Authorization for School Fees

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Student First Name *

Student Last Name *

Deduction Type *

Per Pay Amount (2X Month) *

Stop when this dollar amount is reached

Percentage *

Stop when this dollar amount is reached:

This deduction should begin with the: *

In this month: *

* Request must be submitted within 10 days of the pay period selected for the deduction to begin.

If I already authorized deductions of this type on my pay record, this change:

Type Full Name *

Date *