Fillable SAN DIEGO MESA COLLEGE FOUNDATION AUTHORIZATION FOR PAYROLL (San Diego Mesa College)

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SAN DIEGO MESA COLLEGE FOUNDATION AUTHORIZATION FOR PAYROLL (San Diego Mesa College)

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The SAN DIEGO MESA COLLEGE FOUNDATION AUTHORIZATION FOR PAYROLL (San Diego Mesa College) form is 1 page long and contains:

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Country of origin: US
File type: PDF

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San Diego Community College District
Academic Deduction is new
Classified Deduction is a change
I would like my donation to support ___________________________
I would like my donation to support special programs for veterans
I would like my donation to go where the need is the greatest
I would like my donation to support a one-time gift of _______________________________
Employee Signature Date Effective Date
You may decide where you would like your contribution to go. It may support a specific scholarship or
scholarships in general; faculty and staff development, program support, or where the need is the greatest.
This authorization must be received in Human Resources-Payroll by the first working day of the month in which
the deduction is to become effective and will remain in effect until cancelled by me in writing.
Name (last, first, middle initial)
Location Name
I hereby authorize the San Diego Community College District to reduce my salary in the amount of
AUTHORIZATION FOR PAYROLL DEDUCTION TO THE
SAN DIEGO MESA COLLEGE FOUNDATION
Please check one:
Employee ID #
Pay Station
$_____________ each month, and divert the amount of the reduction to the San Diego Mesa College
Foundation. Unless specifically stated, this deduction will continue until it is stopped by me.
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SAN DIEGO MESA COLLEGE FOUNDATION AUTHORIZATION FOR PAYROLL (San Diego Mesa College)

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Completed 5 September 2020

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