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State Employees' Charitable Campaign

INSTRUCTIONS FOR PLEDGE CARDS

Please print the pledge cards and press hard enough to show up the carbon copies.

Please print out the following information:

  • Last name, first name, and middle initial.

  • Employee ID Number.

  • Department and agency.

  • Work address including zip code.

  • Work phone number.

  • Payroll deduction - the amount of contribution per pay and total pay
    (contribution x 26 pay periods = total pay), OR

  • Total cash contribution and total gift
    (these figures will be the same).

  • Five digit agency code
    (these codes can be found in the brochure next to each charitable organization listed).

  • Annual amount of contribution.

  • Check a box as to whether or not the contributors would want their name and home address released to the voluntary organization.

  • Check a box as to whether or not the contributors would want their home email address released to the voluntary organization.

  • Contributor's signature and date document was signed.

Pink copy goes to the employee.

Yellow copy goes to the payroll office.

White copy goes to the SECC Administrator.

 

Last Updated: Monday December 17 2007
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