Benevolent Fund Payroll Form
Benevolent Fund Payroll Deduction Form Employee Information




Pay Category: Required Field
Pay Category:




Pay Schedule:
Pay Schedule:


Appeal
Credit or Debit Card
To make a gift via credit or debit card, please use the form found here.
Choose up to two (2) Designations
You may select up to two (2) designations as recipients of your contribution.


Is this pledge intended to replace a current pledge to the Benevolent Fund?
Is this pledge intended to replace a current pledge to the Benevolent Fund?

One Time Gift
Provide us with the one-time gift amount and indicate the date of this deduction.
$

Monthly Pledge (automatic monthly renewal)
Provide us with the total amount to be deducted from each paycheck and indicate the start of this deduction.
$

Pledge Installments (finite number of payments)

Provide us with the total pledge and indicate the duration of this pledge. 

$


Please respond to the email immediately following the completion of this form to confirm your payroll deduction.  

Payroll deductions may take up to two (2) pay cycles to begin.

For questions, please contact UAB Gift and Biographical Records by phone at 205.934.7242 or via email at gifts@uab.edu