Please provide details of employee wage deduction. Use one form per item. Fields marked with "*" are mandatory.
Employee First Name*
Employee Last Name*
Venue name*
Date deductions to commence*
Item description (e.g. RMLV Course, Apron etc)*
Cost of item $*
Amount to be deducted each pay period (recommend minimum $20.00/week)*
Additional comments
Supporting Document
By submitting this form, I confirm that the employee has been notified of the deduction and has given consent for this wage deduction to occur.
Form completed by*
Today's Date* Company Company Email