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Singing River Health System Employees

Thank you for supporting a healthier coast.

Employees can provide contributions to Singing River Health System Foundation through payroll deduction, cash, check, or PayPal.

Payroll Deduction Authorization

Download Payroll Deduction Authorization Form

"*" indicates required fields

Name*

First Last

Employee ID*

Phone*

Email*

Deduction Amount*

Submit the amount that you would like to donate, per pay period.

Authorization*

Payroll Deduction

I authorize Singing River Health System to deduct the amount submitted per pay period as a donation to Singing River Healthy System Foundation. I understand this deduction will appear on my pay stub as SRHSF.

I wish to have my gift remain anonymous

Employee Signature*