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Associate Campaign Large

Thank you for giving through payroll deducation. Please fill out the online donation form below to set up your deductions. Payroll deductions will begin January 2022 with your first paycheck. If you would prefer to donate via credit card or other giving option, click the links below:

Credit card contribution | Check or other giving option

This donation form is intended for associates from:
Carmel | Clay | Dunn | Fishers | Heart Center | Indianapolis
Jennings | Kokomo | Randolph | Salem | Williamsport

Please click below if you're looking for forms for:
Anderson | Evansville & Warrick | Mercy


2022 Payroll Deduction Donation Form                                                                       

Please complete the payroll deduction form below.

Payroll deduction gifts automatically recur bi-weekly with each pay period unless the Foundation is notified otherwise.

•  Your Department ID is listed on your pay documents. 
•  Deductions will begin
in January 2022 with the first paycheck.
•  Your Associate ID is the first 8 digits of the 10-digit number on the back of your badge.

*Please note: if you are in the Ascension community, but are not paid directly from Ascension, we are unable to set up payroll deduction for your gift. Please utilize our credit card donation form or check/other options here!
Ascension St. Vincent Foundation | 250 W. 96th Street, Suite 470
Indianapolis, IN  46260
Phone: (317) 338-2338 | Fax: (317) 338-2171