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Wage Deduction Authorization

Written authorization from an employee permitting the employer to make specific deductions from their wages beyond those required by law.

PDF TemplateUse the instructions below to complete this form

Instructions

Specify each deduction: health insurance premiums, retirement contributions, uniforms, tools, loans, or overpayment recovery. State the amount and frequency of each deduction. The employee must sign voluntarily. Most states prohibit deductions that reduce pay below minimum wage. Some states restrict employer deductions severely. Never deduct for cash register shortages or customer walkouts without proper authorization and state law compliance.