Payroll Deduction Form

Personal Information
*
*
*
*
*
*
*
Campus Address
*
*
*
Please deduct the following amount each month, as long as I am a member of the UTEP Family.
Please Direct my Gift/Pledge to
*
Authorization for Payroll Deduction
By checking this box, I authorize this deduction from my after-tax wage for a charitable contribution as indicated. I understand that deductions will begin with the next available pay period following this submission, and that deductions will continue until my employment with UTEP ends or until I submit a deduction cancellation form to the UTEP Development Office, Kelly Hall 7th Floor.
*
*
Click to view help for this field.
*

Scroll to Top

The University of Texas at El Paso
500 West University Avenue | El Paso, Texas 79968
(915) 747-8533
Toll free: 1-888-229-8837

Copyright © 2016 The University of Texas at El Paso. All Rights Reserved