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Western Illinois University Foundation
Western Illinois University Foundation
Employee Payroll Deduction Gift Authorization Form for University Faculty and Staff
Payroll Deduction Form - Macomb
  • 1

    Thank you for initiating a payroll-deduction gift!

    If you prefer to make a one-time gift instead, please click HERE.

    IMPORTANT:

    • This payroll deduction form should only be used for gifts to Western Illinois University and programs supported through the WIU Foundation. Do not include SECA or any other non-University gift deductions.
    • Your payroll deduction gift(s) will be based entirely on the information provided on this form.
    • Gift processing personnel may contact you if clarification is needed.
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  • 2
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  • 3
    Your 9-digit employee ID number (no dashes)
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  • 4
    Please use wiu.edu email address
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  • 5
    Click "SAVE" after each line. Click "NEXT" to proceed to next screen.
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    I understand that this authorization shall remain in effect until revoked by me, allowing me to meet payroll deadlines in order to make effective any payroll record changes in this assignment. This authorization will continue in effect until termination of my employment with Western Illinois University or until I submit written notice of cancellation with the WIU Foundation. Change or cancellation of this authorization must be made in writing.
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  • 10
    I hereby authorize and request the State of Illinois - Western Illinois University to deduct the amounts I have designated on this form from my paycheck each pay period, and to remit the withheld amount(s) to the Western Illinois University Foundation.
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  • 11
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