(AS PRINTED ON PAY WARRANT) Your full SSN is required by 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. In Box A, enter your full Social Security Number clearly. This is essential for payroll processing.
  3. Complete the Employee Name section with your first initial, middle initial, and last name as printed on your pay warrant.
  4. Fill in the Agency and Unit fields accurately to ensure proper identification within your organization.
  5. Provide your current donor information if applicable, including the United Way number.
  6. Proceed to fill out your personal details in Step 1, ensuring all information is legible and accurate.
  7. For donations, select whether you want to set up a new ongoing payroll donation or make a one-time gift, following the prompts accordingly.
  8. Finally, sign and date line 11 to authorize the processing of your donation.

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