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Employee ID
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First Name
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First Name
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Home Address
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Please Deduct This Much From Every Paycheck:
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Minimum of 5 dollars per paycheck.
Old deduction Paycheck:
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Minimum of 5 dollars per paycheck.
For This Many Pay Periods:
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Pay periods are every 2 weeks. The maximum number of payroll pledge pay periods is 24.
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Choose a Program to Support
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Area of Greatest Need
Behavioral Health
Center for Home Care Policy & Research
Charitable Care
Children and Family Services
Chinatown NNORC
Employee Cancer Support – The Care and Comfort Fund (in memory of Christina Savitt)
Hospice Care
LGBTQ+ Programs
Nurse Family Partnership
Nursing Education & Scholarships
Patient Assistance Fund
Veterans Program
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