Payroll Deduction - UPMC Children’s Hospital Foundation

Online Payroll Deduction Survey

Title:

First Name:

Last Name:

Email:

Employee ID:

$ Amount to be deducted per pay. (Payroll deduction gifts will be renewed automatically on an annual basis unless you contact the Foundation to stop payments.)

Gift Designation:

If other, please designate here:

Please confirm your pay schedule:

Biweekly Monthly Other

If other, please note the schedule here here:

I want to make this donation in honor/memory of someone:

I prefer to make this donation anonymously.

Comments: