Authority To Deduct
Authority To Deduct
Authority To Deduct
AUTHORITY TO DEDUCT
FURTHER, this is to authorize my employer, ITSM, to deduct from my retirement benefits, last pay,
and other compensation due me upon my separation/retirement from the Company, any obligations I
have with HPPEMC, and to remit the same to HPPEMC;
____________________________
NAME OF MEMBER
Signature over Printed Name
Date: ___________________