Fillable University of West Florida - Staff Senate Scholarship Endowment Fund Payroll Deduction Authorization

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University of West Florida - Staff Senate Scholarship Endowment Fund Payroll Deduction Authorization

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THE UNIVERSITY OF WEST FLORIDA
STAFF SENATE SCHOLARSHIP ENDOWMENT FUND
PAYROLL DEDUCTION AUTHORIZATION
Name (please print)
UWF ID#:
Effective Pay Date
Amount of biweekly deduction $
One time donation $
I hereby authorize The University of West Florida to deduct the amount listed from my salary as specified above. Biweekly
deductions will remain in effect until changed or cancelled.
Employee's Signature Work Phone Number Date
Please cancel my deduction effective: .
Completed form should be submitted to: UWF Foundation Office, building 12.
Revision 062014
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University of West Florida - Staff Senate Scholarship Endowment Fund Payroll Deduction Authorization

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Completed 23 April 2020

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