ࡱ> 8:7y bjbj {{ll$8'&&&&&&&$(+&DDD&&D &D&%h7&zpkN%&'08'%,dj, 7&,7&l0%"Gc&&"8'DDDD,l : THE COLORADO COLLEGE CHILDRENS CENTER TUITION AFTER-TAX PAYROLL DEDUCTION AUTHORIZATION Complete this form to authorize or amend after-tax payroll deductions for Childrens Center tuition payments through payroll deductions. Employee, please note the following: Childrens Center Tuition payments are after-tax deductions. Submit an amended payroll deduction authorization to Human Resources if you want to make any change to your payroll deduction. Amended payroll deductions must be approved by the Childrens Center Director and the employee is responsible for returning the form to Human Resources by the first of each month. Tuition deducted on the 15th is for child care the 1st 15th, tuition deducted on the last day of the month is for child care the 16th the last day of the month. *** Employee name: ________________________________________________________ Employee ID number: ____________________________________________________ I hereby authorize 鶹Ƶ to make the following payroll deduction effective with the pay date of __________________________. This represents: ____ New Authorization ____Amendment The per pay period deduction amount shall be: ____________ (must equal one half of the total tuition amount). NOTE: This deduction will continue until changed or cancelled by the employee through submission of an amended payroll authorization form. If the full tuition for the month is not paid in full via payroll deduction, the employee is responsible for making payment directly to the Childrens Center for the amount owed. Employee Signature: ________________________________ Date: _______________ Childrens Center Authorization: _______________________ Date: _______________ Human Resources Use Only Date received: ______________ Date Entered into PDADEDN: ______________ Pay date change to first occur: __________________ Entered by: ______________ /9Yz 2 < F G H I _ ҥҥ҉{gTC{!h+}hW~B*OJQJ^Jph$h+}hB*OJQJ\^Jph'h+}h5B*OJQJ\^JphhW~B*OJQJ^JphhAB*OJQJ^JphhHB*OJQJ^Jphh PB*OJQJ^JphhXEB*OJQJ^Jph!h+}h+}B*OJQJ^Jph!h+}hB*OJQJ^Jphh,YB*OJQJ^JphhB*OJQJ^Jph/YZ H I } ~ # $   & Fgd9dgd9d 7$8$H$gdW~ & F7$8$H$gd+} h7$8$H$^hgdW~ 7$8$H$gd $7$8$H$a$gd  ; A M | } ~   ! 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