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Get the free Payroll Deduction Agreement for Health Savings Account Ver ... - countyofsb

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PayrollDeductionAgreementforHealthSavingsAccount I, authorize the payroll department to deduct $ per pay period, beginning pay period #, from my paycheck, and to direct the proceeds to Sterling HSA
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Payroll deduction agreement is used to authorize an employer to deduct certain amounts from an employee's paycheck, such as taxes, insurance premiums, or union dues.
Employers are required to have employees fill out and sign a payroll deduction agreement.
Employees must provide their personal information, the specific deductions to be made, and their signature on the agreement.
The purpose of payroll deduction agreement is to ensure that deductions from an employee's paycheck are authorized and documented.
The agreement must include the employee's name, employee ID or social security number, the amount and type of deductions, and the effective date of the agreement.
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