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Payroll Deduction Authorisation Form
To have depa membership fees deducted from your pay and sent by your council to us, fill out this form and press 'submit'. The details will be automatically emailed to your payroll office and depa.
Full Name
(*)
Please type your full name.
Work Telephone
(*)
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Work Email
(*)
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Current Employer
(*)
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Payroll contact name
(*)
Please add the payroll officers name
Payroll E-mail
(*)
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Payroll Telephone
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To the Payroll Officer:
I authorise you to deduct my depa membership fees until further notice and remit them to depa. Please start deductions from my pay for the period ending:
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Deduction Amount
(*)
Please Select
Full-time employee $11.00/week
Part-time employee $5.50/week
Junior/Trainee employee $3.00/week
We need to know your employment status - please select as applicable
Declaration
(*)
I want the above amount to be deducted from my pay by my employer and remitted to depa.
Please tick this to confirm
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Payroll Deduction Authorisation
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