Payroll Deduction Authorization Form
Please Complete the following form ONLY after your First Entertainment account has been opened.
All Deposits are per-paycheck.
If you are changing an existing payroll deposit, you need to indicate not only the new deposit amount, but also any previous deposits you want to remain the same. Please indicate dollar amounts,
You currently have a $50 deposit to your savings account and you now wish to add a $75 deposit to checking. You must include
deposit amounts on your new entry otherwise your savings deposit will be stopped.
(For Media Services please enter a specific dollar amount. If you would like to setup NET Payroll deposit, please contact your company directly)
Please Check One:
Social Security Number
Cast and Crew
Media Services (FSI)
Name of Production
Daytime Phone Number
Deduct for Savings
Deduct for Checking
Deduct for Other
Old Deduction Amount
Comments and other requests