Page 57 - New Employee Onboarding

PAYROLL DEDUCTION REQUEST

Name: __________________________________

Type of Deduction:

[ ] Postage / UPS / Fed Ex

[ ] Reinhart / Sysco-Lincoln Shipment Invoice #: _______________

[ ] Personal Charge on Company Visa

[ ] Other __________________________________________________

Dollar Amount: $________________

Please deduct the amount shown above from my next pay check.

Signature: _______________________________ Date: __________________

Please attach any documentation for this expense.