The State Credit Union
Semi-Monthly Deduction Form
NAME ACCT. #
Social Security #
The State Credit Union
TO PAYMASTER: WEST VIRGINIA SUPREME COURT OF APPEALS
I hereby authorize you to deduct the following amount from my pay each payroll period
until further notice from me, and transmit same currently to the above named credit union.
Start Change $
Date Effective Date
Signature of Employee
Please mail original and 1 (one) copy to:
West Virginia Supreme Court of Appeals
Attention: Division of Human Resources
Building 1, Room E-100
1900 Kanawha Blvd., East
Charleston, WV 25305