Payroll Deduction

Payroll Deduction
Complete and submit the form below or, if you prefer, you may download and fax or mail our printable payroll deduction form.
I would like to pledge my support of Temple University with a gift of $:


Choose the area of the university you would like to support:
Choose a specific fund or program:
Other (please specify):


Payroll Deduction Options:



If you would like to fulfill your pledge through equal deductions over several paychecks, please complete the section below:
Each pay period, please deduct $:
Please begin my payroll deduction in the month of:
Please end my payroll deduction in the month of:
I am paid:


Employee Information
First Name
Last Name
TUid
Department
Title
Email
Phone Number:
Business Phone:
Address Line 1:
Address 2:
City:
State:
Zip:

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