Employee Advance Deduction Form

  • Personal Protective Equipment

  • Boots

  • Please enter a number from 1 to 1000.

  • Shirts

  • Please enter a number from 1 to 1000.

  • Gloves

  • Please enter a number from 1 to 1000.

  • Glasses

  • Please enter a number from 1 to 1000.

  • Hard Hats

  • Please enter a number from 1 to 1000.

  • Other

  • What is the 'Other' item?
  • Please enter a number from 1 to 1000.

  • Training & Permits

    Deducted at 20% of net weekly pay until recovered

  • PTA

  • Arc Infrastructure

  • Medical

  • Training

  • Other

    Please describe in the box below

  • Pay Advance

    Deducted 100% Following Pay
  • Please enter a number greater than or equal to 0.
    How much would you like advanced

  • TOTAL COST

    Total cost of all deductions. Except Salary Advance

  • Approval