You may copy, modify and use this sample without restriction.
Deductions from Paychecks
I authorize the Company to deduct from my paycheck, the value of any purchases, supplies, materials or other goods that have been obtained through the Company for my benefit, if I have not repaid the Company in full for such items within 30 days of the date that I incurred the expense.
________________________________
Signature of Employee
________________________________
Name of Employee
________________________________
Date
You may copy, modify and use this sample without restriction.
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