Fillable Texas Woman’s University - Meal Plan for Faculty/Staff

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Texas Woman’s University - Meal Plan for Faculty/Staff

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TWU Faculty/Staff
Payroll Deduction Authorization
TWU Meal Plan for Faculty/Staff
Employee First Name: Employee Last Name:
Oracle Number: Email Address:
(Sign up period deadline: September 7, 2018)
(Sign up period deadline: January 10, 2019)
__________________________
______________________________
Employee Signature
Date
Fall Semester 2018
Spring Semester 2019
Fall Meal Plan fees will be deducted in 3 monthly payments beginning October 1, 2018 through
December 1, 2018 payroll checks.
Spring Meal Plan fees will be deducted in 3 monthly payments beginning February 1, 2019 through April
1, 2019 payroll.
Employee Authorization for Payroll Deduction – Please read and sign.
I hereby authorize Texas Woman’s University to deduct from my paycheck $126.30 per month for a
TWU Meal Plan for 3 months for a total of $378.88. Partial or prorated monthly membership deductions
will not be allowed. No cancellations.
Campus:
Denton
Dallas
__________________________
______________________________
Staff Verification
Date
If Faculty, Pay Class: 9 12
Return to jmulkey1@twu.edu
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Texas Womans University - Meal Plan for FacultyStaff

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Completed 17 April 2020

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