Payroll Deduction Form
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Payroll Deduction
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Chico State Payroll Deduction Form
Contact Information
Legal First Name:
Legal Last Name:
Legal Middle Name(s):
Email:
Phone Number:
Alumnus - Year:
University Affiliation:
Faculty
Staff
Employee Type:
Please Choose
State Employee
Chico State Enterprises Employee
Associated Students Employee
Mailing Address
Mailing Address:
Mailing Address 2:
Mailing City:
Mailing State:
Mailing Zip:
Campus Information
Campus Department:
Campus Zip:
Business Phone:
Payroll Deduction
Please Check One or More:
Please Check One or More:
I would like to have a donation deducted from my paycheck to support Chico State
I would like to change my current payroll deduction
Change designation(s)
Delete Payroll Deduction
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