EASTERN MICHIGAN UNIVERSITY
PAYROLL DEDUCTION AUTHORIZATION OR CANCELLATION
STUDENT BUSINESS SERVICE TUITION/LOAN
I herby authorize the following deduction from my payroll checks and the remittance of this deduction to the indicated
agencies.
EMPLOYEE # DED. CODE
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(Completed by SBS)
NAME DED. AMT $
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(Last name first-please print)
DATE GOAL $
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SIGNATURE ACCT #
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SBS Approval ACCT NAME
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(Approval required from SBS before Payroll can process)
Send to: Student Business Services 204 Pierce Hall REFERENCE #
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SBS will forward original to Payroll and will keep copy. (Completed by SBS)
de: 10/8/08