2026 Tax Credit Form

Employee Name:

Email

example@example.com

I hereby request a payroll deduction for the year 2026 Arizona School Tax Credit.

Please deduct the following dollar amount EVERY PAY PERIOD

Total 2026 Deduction is not to exceed:

Other

I request the donation to be used at:

Please apply toward:

Other

Type Signature* Date*

2026 TAX CREDIT