Download PAYROLL DEDUCTION AUTHORIZATION FORM for Serving the

PAYROLL DEDUCTION AUTHORIZATION FORM
for
Serving the Employees of Granite Construction, its subsidiaries, and majority owned joint ventures.
I,
(Print full name)
hereby authorize the Corporate Payroll Department to deduct from
my paycheck the following amount for deposit into my Gibbons & Reed FCU account. I also authorize Granite
Construction to forward/share address and phone number changes from my employee file to the Gibbons & Reed
FCU during the time this deduction is in place.
Amount to be deducted: $______________________________
___________________
(per pay period)
(effective date)
Employee’s SSN:____________________________
Employer : ____________________________
Job Location: _______________________
(Please list all Granite companies from whom you want a deduction.)
____________________________________________
Employee Signature
_____________________
Date
Circle One:
Start
Change
Cancel
Forward this completed form to Granite’s
Payroll Department in Watsonville.