Employee Payroll Deduction Authorization Form - Complete & Authorize

Sep 17, 2026

Upload by Adam

Employee Payroll Deduction Authorization Form for UNLV Foundation collects employee identity and contact details, then authorizes payroll to deduct the specified amounts per pay period for philanthropic gifts. The form allows selection of a college, school, fund, or department and includes categories of gifts supported by the payroll deduction. It states the authorization remains effective until canceled in writing and explains cancellation upon employment termination. It also notes this form replaces prior UNLV designated payroll giving agreements for the named employee.

LanguageEnglish

CategoryForms

FormatPDF

Pages2

Reading Time1 min

AccessFree to download

How to Make Your Gift

Choose a department, division, or fund

Provide name, contact information, and signature

Submit the form

What to expect after submission

# Employee Payroll Deduction Authorization Form UNLV|FOUNDATION Yes,I would like to make a payroll deduction donation OI want to give anonymously OANNUAL FUND GIFT……… ……Amount per pay period:$ Amount per pay period:$. Name of College,School,Fund or Department OMY GIFT WILL SUPPORT: Amount per pay period:$_______ Name of College,School,Fund or Department OClassified OFaculty OAdministrative Faculty Gift(s)Total per pay period:[ EMP.ID\#:_ Dr./Mr./Mrs./Ms. First Name Last Name Campus Mail Stop: Campus Phone:(702) State City I hereby authorize payroll to make the above listed payroll deductions from my salaries and wages for philanthropicgifts of my choice identifiedon this form.This authorization will remain in effect until cancelled in writing by myself or by payroll. *This payrolldeduction form replaces any cument UNLV designated payroll giving agreements in place for the named employee above. Icertify that Iam an employee of the University of Nevada,Las Vegas and understand that termination of employment will cancelalldeductions made under this authorization. # Support UNLV through Employee Payroll Deduction Annual GivingKUNV RadioAthletics:Rebel Athletic FundLibrariesBarrick MuseumMarriage &Family TherapyCenter for AutismNursing Skills LabClassified Staff Dependent's ScholarshipOral History ProjectClassified Staff Development FundRenewable Energy ProgramDebate LeagueSgt.Clint Ferin Dental ClinicGeneral Scholarship FundScience BowlGraduate AssistantshipsStudent AffairsGraduate CollegeThomas &Mack Legal ClinicHealthy Homes InitiativeUNLV PreschoolThe Huntridge Teen Dental ClinicUNLV Cares Food PantryInstitute for Children's Research and Policy Veteran Student Services For the past 57 years faculty and staff haveunderstood firsthand the value of investing in UNLVand our mission.Whatever your position may be,youplay an important role in educating the brightestyoung minds and strengthening the cultural andintellectual fabric of our community. ## How to Make Your Gift: ①Choose your favorite department,division,orfund(like Annual Giving)to support.Examples ofgreat funds are listed to the right. ②Share your name,contact information,and signature to complete the form ③Drop the form off in person or send it bymail to the Foundations Building(Mail Stop 1006) ④Breathe deeply and smile as the gratitude from countless others washes over you ⑤Your payroll deduction gift will begin withinone to two payroll cycles UNLV|FOUNDATION

FAQs

How long does the payroll deduction authorization remain active?

The authorization remains in effect until the employee cancels it in writing or payroll processes the cancellation request.

What happens to deductions if employment ends?

Termination of employment cancels the deductions made under this authorization.

Does this form replace any previous UNLV payroll giving agreements?

Yes. This payroll deduction form replaces any current UNLV designated payroll giving agreements for the named employee.

Sep 17, 2026

Upload by Adam