Free Wage Deduction Authorization HR Template
Wage Deduction Authorization
[July 14, 2053]
[Mandy Burns]
[2676 Kelly Street]
[Davidson, NC 28036]
RE: Wage Deduction Authorization
Dear [Ms. Burns],
I am writing to inform you that your request for a wage deduction has been processed and approved by our Human Resources department. This authorization allows us to deduct certain amounts from your wages per your request. Please carefully review the details of this authorization, as outlined below:
Authorization Details:
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Employee Name: |
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Department: |
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Position: |
Authorized Deductions:
You have requested the following deductions from your wages:
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Deduction Type: |
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Deduction Amount: |
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Frequency: |
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Effective Date: |
This authorization is effective as of September 20, 2053. The deductions will commence on the first pay period following this date.
Termination of Authorization:
You may terminate this authorization at any time by providing written notice to the Human Resources department at least [30] days before the desired termination date. Upon termination, deductions will cease as of the effective date specified in your notice.
Confidentiality:
The HR will keep all The information related to this wage deduction authorization confidential and the HR will only disclose to individuals or entities involved in the payroll process.
Contact Information:
If you have any questions or concerns regarding this authorization, please contact our HR department at [Your Company Email] or [Your Company Number].
Please sign and return a copy of this authorization to confirm your agreement with the terms outlined herein. Your signature signifies your understanding and consent to these wage deductions.
_____________________
[Mandy Burns]
UI/UX Designer
Thank you for your cooperation in this matter. If you require any further assistance or have any additional questions, please do not hesitate to reach out to our HR department.
Sincerely,
[Your Name], HR Manager
[Your Company Name]
[Your Company Address]
[Your Contact Information]
