Wage Deduction

Please provide details of employee wage deduction. Use one form per item. Fields marked with "*" are mandatory.

Employee Details

Employee First Name*

Employee Last Name*

Venue name*

Deduction Details

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

Purchased refundable items will be credited to employee's account once items have been returned to venue manager at employment termination. (Please provide details on Termination Form).

Authorisation Details

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