Employee Citation Payroll Deduction Request

Employee Citation Payroll Deduction Request

Employee Citation Payroll Deduction Request

Disclaimer

  • Payroll Deduction Requests will be honored based on the GT Payroll Calendar.
  • Only the requested amount will be payroll deducted and must be the full amount per each citation.
  • Cancellations must be in advance of the date of deduction, a 24-hour notice 404-894-0059.
  • Checking the 'I Agree' button below, I, the Employee will enter and approve the information and authorize the Parking Office to submit this request to the Payroll Office for payroll deduction.

Employee Information

Please DO NOT enter GT ID numbers.
Format: (XXX)-XXX-XXXX

Citation Information

Enter up to five (5) citations in the fields below. Your total payment will be listed at the bottom of the form.

Citation Details #1

Citation Details #2

Citation Details #3

Citation Details #4

Citation Details #5

Payment Information

Pay Group

Payroll Deduction Requests will be honored based on the GT Payroll Calendar.Only the requested amount will be payroll deducted and must be the full amount per each citation.Cancellations must be in advance of the date of deduction, a 24-hour notice (404) 894-0059.

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