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Payroll deduction form

Employment Type


Gift Designation


For tax purposes, the official date of your payroll deduction gift to the University of Wisconsin-La Crosse Foundation is the date the gift is received by the Foundation from the UW System Shared Services, not the date payroll is processed.

UWL HR has advised of changes to payroll that will take place in July 2021 as part of the Single Payroll project. These changes may affect your monthly deductions including to the Foundation. Please contact UWL HR directly with questions regarding payroll changes.

*Year-end giving statement will be mailed to your home address. 

By submitting this form you are verifying that all information is correct.