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Associate Campaign Large

Thank you for giving through payroll deduction. Please fill out the online donation form below to set up your deductions. Payroll deduction donations made in 2021 will begin with the first pay period in January 2022. Payroll deduction donations made throughout 2022 will begin with the next available pay period based on the time of the donation. 

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
Anderson.

Please click below if you're looking for forms for:
Anderson | Carmel | Clay | Dunn | Evansville | Fishers | Heart Center
Indianapolis | Jennings | Kokomo | Mercy | Parkwood | Randolph
Salem | Warrick | Williamsport | All Other Ministries 



 

 

 

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. Payroll deductions made after January 1 will be deducted from the next payroll after form is submitted. 
•  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