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State of Kansas Department of Administration Office of Accounts and Reports DA193 (Rev. 102019)State of Kansas Please print or Type: Organization NameCouncil No. Local Union No. AUTHORIZATION FOR
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How to fill out authorization for payroll deduction

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How to fill out authorization for payroll deduction

01
Step 1: Obtain the authorization form for payroll deduction from your employer or payroll department.
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Step 2: Read through the form carefully, ensuring you understand all the terms and conditions.
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Step 3: Fill out your personal details, such as your name, employee ID, and contact information.
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Step 4: Provide the necessary information regarding the payroll deduction, such as the amount to be deducted, the frequency (e.g., monthly or bi-weekly), and the start date.
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Step 5: If applicable, indicate the reason for the payroll deduction (e.g., for a loan repayment, insurance premium, or charitable contribution).
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Step 6: Review the completed form to ensure all information is accurate and complete.
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Step 7: Sign and date the authorization form.
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Step 8: Submit the form to your employer or payroll department as per their instructions.
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Step 9: Keep a copy of the authorization form for your records.

Who needs authorization for payroll deduction?

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Anyone who wishes to have a specific amount deducted from their paycheck for various purposes may need authorization for payroll deduction. This includes employees who want to contribute to retirement plans, health insurance premiums, loan repayments, union dues, or make donations to charities through payroll deductions. The specific requirements may vary between employers and the purpose of the deduction.
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Authorization for payroll deduction is a formal agreement between an employee and employer that allows the employer to deduct certain amounts from the employee's paycheck for specific purposes, such as benefits, union dues, or other authorized payments.
Typically, any employee who wishes to participate in a program that requires payroll deductions, such as health insurance, retirement plans, or union membership, must file an authorization for payroll deduction.
To fill out an authorization for payroll deduction form, employees should provide their personal information, specify the amount to be deducted, indicate the reason for the deduction, and sign the form to authorize the employer to process the deduction.
The purpose of authorization for payroll deduction is to give employees control over the deductions taken from their paychecks, ensuring that these deductions are made with their consent and for specific purposes.
The information that must be reported includes the employee's name, identification number, the type of deduction, the amount to be deducted, and any relevant payment dates or frequencies.
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