Authorization for Paycheck Deduction

Name*

First Last

Email*

CSP ID*

Deduction Types

Please select the correct deduction type.

Deduction*

Course Name*

Course Price*

Authorization Agreement

I hereby authorize Assist A Boss to deduct the following Installment Amounts from my paycheck each period until the total cost is reimbursed to Assist A Boss for the purpose of client support training. I authorize Assist A Boss to deduct any amount which I owe from my last paycheck and/or any future paychecks which may be due to me after the termination of my employment or independent contractor status.

Installment Amount for Certification Class

Price: $0.00

Signature*

Authorization for Paycheck Deduction

Deduction Types

Authorization Agreement

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