Payroll Deduction Form 2025

Date

Richland ID Number

Personal Email(Required)

Personal Phone(Required)

Donation Information

Per Pay Period Amount(Required)

Special Instructions: If you select more than one designation, please indicate the designation and the amount below. Amount(s) per designation must add up to the total per pay period amount. The amounts you allocate to each designation should be in whole-dollar increments.

Please Share! Why do you support the Employee Campaign?

T Shirt Size

For those who are making a minimum donation of $50 or $2 per pay period.

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Email

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Employee Campaign 2026 Payroll Deduction Form

Donation Information

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