mexia isd payroll deductions additions/changes
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MEXIA ISD PAYROLL DEDUCTIONS ADDITIONS/CHANGES If you are adding a deduction please attach supporting documentation. In order to make any changes in payroll, this form must be in the payroll office by the 10th of the month in which you wish the deduction to be effective.
YOUR NAME:
NAME & ADDRESS OF BUSINESS/OR WHOM DEDUCTION TO BE SENT:
ACCOUNT OR OTHER TRACKING ID NUMBER: OLD DEDUCTION AMOUNT IF APPLICABLE: NEW DEDUCTION AMOUNT:
____________________________________ SIGNATURE
Return to: Payroll Jan Puckett, Dept.Payroll Dept.
DATE
Print Form
MEXIA ISD PAYROLL DEDUCTIONS ADDITIONS/CHANGES If you are adding a deduction please attach supporting documentation. In order to make any changes in payroll, this form must be in the payroll office by the 10th of the month in which you wish the deduction to be effective.
YOUR NAME:
NAME & ADDRESS OF BUSINESS/OR WHOM DEDUCTION TO BE SENT:
ACCOUNT OR OTHER TRACKING ID NUMBER: OLD DEDUCTION AMOUNT IF APPLICABLE: NEW DEDUCTION AMOUNT:
____________________________________ SIGNATURE
Return to: Payroll Jan Puckett, Dept.Payroll Dept.
DATE
