Payroll Giving Scheme - Staff Deduction Authorisation

Windermere Staff Payroll Giving Scheme

Staff Deduction Authorisation Form

Staff Payroll Giving donations are used to assist Windermere consumers in need who would significantly benefit from a grant where assistance from other sources is not available.

The Staff Payroll Giving Scheme is adminsitered in accordance with Windermere's Policy ' Staff Payroll Giving Scheme'.

Windermere matches donations on a $:$ basis.

1. Your details

First Name *

Last Name *

Service Area *

Work email address *

Employee Number *

2. Authorisation

I authorise the following amount ($) to be deducted from my pay each fortnight until such time as I advise in writing to cease the deduction. *

I understand I will receive a receipt at the end of each financial year and that this deduction was taken out before tax, therefore I have already received the tax benefit and will not be able to claim in in my annual tax return.

Signature *

Clear

Date *