Internal: Staff Salary Deduction | Rubix Shuttles & Transfers

Date*
DD slash MM slash YYYY
Name
First Last
Total amount*
If no amount is available e.g. due to accident damages, please put zero (0) which indicates that an amount is not finalised as quotes may be outstanding from repairers
Number of deductions*
Please enter a number from 1 to 6.
Maximum term: 6 months - Note that this may be amended by the Employer should the deduction amount be high / the urgency of payment e.g. accident damage excess be required sooner / the vehicle not being usable for VAP
Amount per month*
Commencement date of deductions*
DD slash MM slash YYYY

Note that the deduction date will commence in the month damages / loss was incurred (no exceptions)
Reason for deduction*
RX number*
Summary of negligence, damages or loss
Consent*
I agree to the deduction.
This serves to confirm that I, the above mentioned staff member, authorise the company to deduct from my salary the amount in equal installments and for reasons as shown above.