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Preview - Employee Advance Form
EMPLOYEE ADVANCE FORM
EMPLOYEE DETAILS (Fill out all fields)
Name: |
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Middle |
Last |
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Date of Advance: |
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Company Name: |
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Last 4 Digits of SSN:
Client No.:
I, ________________________________ , request an advance payment of $ _______ on my wages/salary payable
on the payroll date of ___________ . I understand that I am eligible for no more than ____ emergency payroll
advances per calendar year and that the amount requested shall not exceed ____% of my earnings to date for the
current month. If this request is approved, I would like to receive this advance by:
□Physical check
□Direct deposit
□Other: __________________________________________________________________
By signing this form, I authorize ________________ to make deductions from my paycheck to repay this advance
through either:
1)One payroll deduction to be made from wages/salary payable the first pay period immediately following the pay period from which this advance is made, or
2)From equal deductions from the next pay periods immediately following the pay period from which this advance is made.
I also agree that if I terminate employment prior to total repayment of this advance, I authorize the
______________ to deduct any unpaid advance amount from any wages/salary owed me at the time of termination of employment.
Employee Signature |
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Date |
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Supervisor/Manager |
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Date |
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Human Resources Manager/Director |
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Date |
Payroll Entry |
Date |
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Similar forms
- Expense Reimbursement Form: This document allows employees to request reimbursement for expenses incurred while performing work duties. Like the Employee Advance form, it requires details about the expenses and may need receipts for verification.
- Travel Authorization Form: Employees use this form to get approval for travel-related expenses before they occur. Similar to the Employee Advance form, it outlines expected costs and justifies the travel purpose.
- Payroll Advance Request: This form lets employees request an advance on their upcoming paycheck. It is similar in nature to the Employee Advance form, as it seeks to provide financial assistance to employees in need.
- Loan Agreement Form: Employees may fill out this document to formalize a loan from the employer. Both forms involve financial assistance and require clear terms regarding repayment.
- Bonus Request Form: This form is used by employees to request a bonus based on performance or special projects. Like the Employee Advance form, it necessitates justification for the request.
- Leave of Absence Request: Employees submit this form to request time off from work. It shares similarities with the Employee Advance form in that it requires an explanation of the need for leave and may involve financial implications.
Power of Attorney Form: This crucial legal document enables individuals to appoint someone to make decisions on their behalf, ensuring their financial and health care choices are respected. More information can be found at https://pdftemplates.info/power-of-attorney-form/.
- Commission Advance Request: This document allows employees to request an advance on their expected commissions. It is akin to the Employee Advance form, as both involve anticipating future earnings.
- Work-from-Home Stipend Request: Employees may use this form to request stipends for home office expenses. It parallels the Employee Advance form by addressing financial needs related to job performance.
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