San Diego Community College District

 

 

 

     
     

 

 

 

I hereby request and authorize the San Diego Community College District to reduce my salary in the amount listed and divert the amount of such reduction to the organization as indicated above.

 

       

 

image

Conditions of Record

The amount so deducted shall be transmitted to the organization designated above and upon remitting the deduction, the San Diego Community College District shall have fulfilled its entire obligation and shall be held harmless in the event of defalcation on the part of the designated organization or any of its employees.

This authorization must be received in Human Resources - Payroll by the first working day of the month in which the deduction is to become effective and will remain in force until canceled by me in writing.