Payroll Deduction Donation

Give A Special Gift Today!

St. Mary’s Medical Center, Cabell Huntington Hospital, and HIMG will payroll deduct for gifts to the Foundations, based on the following criteria:

Payroll deductions will be available only to regular full-time and regular part-time employees.
The minimum payroll deduction will be $25.00.
Any questions regarding the donation will be directed to the Vice President in charge of the Foundation. Please contact Bradley Burck at 304.526.2658.
In case of termination or change from regular full-time or regular part-time status to on-call/PRN, the total balance remaining will be deducted from the last payroll check.
If it is not possible to make a deduction during any given pay period, due to insufficient gross wages, the next deduction will be increased by the amount of the missed deduction.

My Gift Using My Employee ID Number For Payroll Deduction

Name(Required)

Prefix First Last

Phone or Email(Required)

Let us know the best way to contact you.

Gift Amount(Required)

Organization(Required)

SMMC

HIMG

CHH

Project(Required)

Memorial Christmas Tree

High Rise

Make My Gift Monthly

YES

Employee ID / Badge Number*(Required)

NOTES

Consent(Required)

I AGREE

By clicking this box, I agree to have the amount shown above payroll deducted. I further authorize my employer to deduct any remaining balance from my final paycheck, in the event of employment termination.

Payroll Deduction Donation

Give A Special Gift Today!

My Gift Using My Employee ID Number For Payroll Deduction

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