Payroll Deduction for The EDUCATION FOUNDATION OF OTTAWA

Payroll Deduction for The EDUCATION FOUNDATION OF OTTAWA
Employee Information
Name

First Name Last Name
Employee EIN Number
Employee Group/Department (teacher, admin, etc.)
Employee Email
example@example.com
Please select if you are agreeing to PAYROLL DEDUCTION to the EDUCATION FOUNDATION OF OTTAWA

Yes, I agree to a recurring biweely withdrawal/payment
I would like to support OCDSB students with a biweekly amount of:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Is there anything else you would like payroll to know related to this form?
Signature

Clear
Confirmation - to be completed by Education Foundation of Ottawa
Should be Empty:

Employee Information