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Payroll Deduction Information

If you would like to commit to ongoing payroll deductions each pay period, please complete the form below.

If you have any additional questions or would like to learn more, please contact Nicole Zrake, at or (214) 947-4551.

For employees at Methodist Richardson Medical Center, please click here.

* Asterisk indicates a required field.
  • Please enter your first name.
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  • Please enter your address.
  • Please enter your city.
  • Please select your state.
  • Please enter your zip.
  • Please enter your Employee ID.
  • Please enter your Department.
  • Please select an option.
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  • I hereby authorize Methodist Health System to deduct the selection above of my base salary from my payroll check. I understand that this contribution (except a on-time gift) is continuous until written amendment or cancellation by me.