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.
Please type your full name.
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Invalid email address.
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Please add the payroll officers name
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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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We need to know your employment status - please select as applicable
Please tick this to confirm
Security check - Please type the numbers below
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