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Payroll Deduction Request

Payroll Deduction Request
Please review the payroll deduction due dates and policy before submitting your request. If you have any questions regarding the Payroll Deduction Application, please call the Office of Student Accounts at (479) 575-5651, M-F 8:00 am to 5:00 pm.
NOTE: This form is compatible only with Internet Explorer version 6.0 or above.
Select Term:
Year:
Applied To:
Employee First Name:
Employee Last Name:
Employee ID Number:
    Login to Web BASIS to lookup Employee ID
University ID Number:
Dept:
Building:
Room:
Campus Phone:
5-
UARK email Address:
@uark.edu
If this payroll deduction should be applied to an account other than the employee's, please provide that information below.
Name on ISIS Account:
University ID Number on ISIS Account:
This form cannot be retrieved again to make changes once submitted. Be sure to check all information carefully before submission.