Join more than 725 of your co-workers in the Foundation Nation and donate to Union Health Foundation. Donations support new medical equipment, healthcare services, patient assistance programs, education and community health initiatives in the Wabash Valley.
I hereby authorize the deduction amount entered below to be deducted per pay period from my salary/wages to be contributed on my behalf to Union Health Foundation. I understand that the payroll deduction will continue until such time that I terminate its authorization. Payroll deduction will begin the second pay period after this form is received by Union Health Foundation.
During each year's Annual Employee Giving Campaign, we distribute shirts to those who donate a minimum of $2/pay.
Make sure to include your shirt size so you are in next year's order!
By signing my electronic signature and submitting this form, I am authorizing Union Health to deduct the above amount from my paycheck and send the donation to Union Health Foundation.The donation will continue until I choose to terminate my authorization by contacting Union Health payroll department of the Union Health Foundation.
Thank you for donating to Union Health Foundation! Your gift will help provide support to you and your coworkers and services to residents in the Wabash Valley.