Payroll Deduction Form Template

The Payroll Deduction Form Template – Australia is offered in multiple formats, including PDF, Word, and Google Docs. These templates are both customizable and ready for printing, crafted to suit your requirements effortlessly.

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Payroll Deduction Form Template – Australia

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(PDF – 1) (PDF – 2)

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1. Employee Information

2. Payroll Information

3. Deductions Requested

4. Acknowledgment of Deductions

5. Consent for Changes

6. Duration of Deductions

7. Signatures

I hereby confirm that I am the employee and that all information provided above is accurate.

Date:

Employee’s Signature:

Manager’s Approval:

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WORD

Examples

Payroll Deduction Form Template – Australia (1)

Employee Information:
[Employee’s Name]
[Employee’s ID]
[Employee’s Address]
[Employee’s Phone]
[Employee’s Email]

Employer Information:
[Employer’s Name]
[Employer’s ID]
[Employer’s Address]
[Employer’s Phone]
[Employer’s Email]

Deduction Details:
This Payroll Deduction Form authorizes the Employer to deduct specified amounts from the Employee’s wages for the following purposes:

Deduction Type:
[Type of Deduction (e.g., health insurance, retirement contributions, etc.)]

Amount to Deduct:
[Amount to be deducted per pay period]

Frequency of Deduction:
[e.g., Weekly, Bi-weekly, Monthly]

Start Date:
This deduction will commence on [Start Date] and will continue until further notice or cancelation by the employee.

Employee Declaration:
I hereby authorize the Employer to deduct from my wages the specified amount for the indicated purpose.
Signature: ____________________________
Date: ______________________

Employer’s Agreement:
The Employer agrees to process the deduction as specified above.
Signature: ____________________________
Date: ______________________

Payroll Deduction Form Template – Australia (2)

Employee Information:
[Employee’s Name]
[Employee’s ID]
[Employee’s Address]
[Employee’s Phone]
[Employee’s Email]

Employer Information:
[Employer’s Name]
[Employer’s ID]
[Employer’s Address]
[Employer’s Phone]
[Employer’s Email]

Deduction Purpose:
The Employee requests the following deductions from their pay for the indicated purposes:

Type of Deduction:
[Specify deduction type, e.g., charitable contributions, union dues, etc.]

Deduction Amount:
$[Specify amount or percentage of salary to be deducted]

Deduction Frequency:
[Specify frequency: e.g., every paycheck, once a month]

Effective Date:
This authorization will take effect on [Effective Date], until I provide written notice of cancelation.

Employee Signature:
I authorize the above deductions, and I understand that I can revoke this authorization at any time.
Signature: ____________________________
Date: ______________________

Employer Confirmation:
The Employer acknowledges receipt of this authorization and agrees to the terms outlined above.
Signature: ____________________________
Date: ______________________

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PDF – 1 PDF – 2

Payroll Deduction Form Template - Australia