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CITY AND COUNTY OF SAN FRANCISCO PAYROLL/PERSONNEL SERVICES DIVISIONPAYROLL DEDUCTION AUTHORIZATION/CANCELLATION FORM IF NO RESPONSE AFTER TWO PAY PERIODS, CALL PPD. Do Not Resubmit. NEW AUTHORIZATIONCHANGE
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How to fill out payroll deduction authorizationcancellation form

01
Obtain the payroll deduction authorization/cancellation form from your employer.
02
Fill out your personal information such as name, address, and employee ID number.
03
Indicate the reason for the authorization/cancellation (e.g. voluntary deduction, change in benefits, termination of employment).
04
Specify the amount to be deducted or cancelled per pay period.
05
Sign and date the form before submitting it to the payroll department.

Who needs payroll deduction authorizationcancellation form?

01
Employees who want to authorize or cancel deductions from their paychecks.
02
Employers who require employees to submit a formal request for payroll deductions.
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The payroll deduction authorization/cancellation form is a document that allows employees to authorize or cancel deductions from their paychecks for specific purposes, such as benefits or retirement savings.
Employees who wish to make changes to their payroll deductions, such as starting or stopping a deduction for benefits or other purposes, are required to file the payroll deduction authorization/cancellation form.
To fill out the payroll deduction authorization/cancellation form, employees should provide their personal information, specify the deductions they wish to authorize or cancel, indicate the effective date for the changes, and sign the form.
The purpose of the payroll deduction authorization/cancellation form is to formalize an employee's request to either initiate or stop certain payroll deductions, ensuring that their wishes are accurately reflected in their payroll records.
The form must include the employee's name, employee ID, the specific deductions being authorized or canceled, the effective date of the change, and the employee's signature.
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