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This document is an authorization form for University of Rochester employees to allow payroll deductions for Fitness & Wellness Center membership and locker fees.
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How to fill out URMC FITNESS & WELLNESS CENTER SEMI-MONTHLY PAYROLL DEDUCTION AUTHORIZATION

01
Obtain the URMC FITNESS & WELLNESS CENTER SEMI-MONTHLY PAYROLL DEDUCTION AUTHORIZATION form.
02
Enter your personal information, including your name, employee ID, and department.
03
Specify the amount you wish to deduct each pay period for the fitness and wellness center membership.
04
Review the terms and conditions related to the payroll deduction.
05
Sign and date the form to authorize the deduction.
06
Submit the completed form to your HR department or the designated payroll office.

Who needs URMC FITNESS & WELLNESS CENTER SEMI-MONTHLY PAYROLL DEDUCTION AUTHORIZATION?

01
Employees of URMC who wish to participate in the fitness and wellness center and have the membership fee deducted from their payroll.
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The URMC Fitness & Wellness Center Semi-Monthly Payroll Deduction Authorization is a form that allows employees of URMC to authorize deductions from their semi-monthly paychecks for membership fees at the Fitness & Wellness Center.
Employees of URMC who wish to enroll in the Fitness & Wellness Center and have membership fees deducted directly from their payroll must file this authorization.
To fill out the authorization, employees need to provide personal information such as their name, employee ID, and the desired deduction amount, and then sign and date the form.
The purpose of the authorization is to facilitate the automatic deduction of Fitness & Wellness Center membership fees from employees' semi-monthly paychecks, ensuring timely payment and smooth enrollment.
The information that must be reported includes employee full name, employee ID, the specific program or membership selected, deduction amount, and the employee's signature and date.
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