WAGE DEDUCTION AUTHORIZATION AGREEMENT

​I understand and agree that my employer, Quality Payroll Services, Inc. (the Company) may deduct money from my pay from time to time for reasons that fall into the following categories:

1. My share of premiums for the Company’s group medical/dental/vision plan.
2. Any contributions I may make to a retirement or pension plan sponsored, controlled, or managed by the Company.
3. Installment payments on loans or wage advances given to me by the Company, and if there is a balance remaining when I leave the Company, the balance of such loans or advances.
4. Installment payments on loans based upon store credit that I use for my own personal purchases, including the value of merchandise or services that I purchase or have purchased for personal, non-business reasons using my employee charge account or credit card, an account or credit card assigned to another employee, or a general company account or credit card, regardless of such purchase was authorized, and if there is a balance remaining when I leave the Company, the balance of such store credit or charges;
5. If I receive an overpayment of wages for any reason, repayment of such overpayments (the deduction for such overpayment will equal the entire amount of the overpayment unless the Company and I agree in writing to a series of smaller deductions in specified amounts).
6. The cost to the Company and or Client of personal long-distance calls I may make, or messages I may send, using Company/Client phones (landlines or cell phones) or Company/Client accounts, of personal faxes sent by me using Company/Client equipment or Company/Client accounts, or non-work-related access to the internet or other computer networks by me using Company/Client equipment or Company/Client accounts.
7. The cost of repairing or replacing Company/Client supplies, materials, equipment, money, or other property that I may damage (other than normal wear and tear), lose, fail to return, or without appropriate authorization the Company/Client during my employment (except in the case of misappropriation of money by me, I understand that no such deduction will take my pay below minimum wage, or, if I am a salaried exempt employee, reduce my salary below its predetermined amount);
8. the cost of the company's uniforms and of cleaning the uniforms (the Company will deduct only the actual price it pays for uniforms and cleaning costs).
9. the reasonable cost or fair value, whichever is less, of meals, lodging, and other facilities furnished to me by the Company in connection with my employment.
10. administrative fees in connection with court-ordered garnishments or legally required wage attachments of my pay, limited in the extent to the amount or amounts allowed under applicable laws.
11. If I take paid vacation or sick leave in advance of the date, I would normally be entitled to it and I separate from the Company before accruing time to cover such advance leave, the value of such leave taken in advance is not so covered.
12. the value of any time off for absences to which paid leave is not applied (except in the case of those who are paid a fixed salary for fluctuating workweeks, non-exempt salaried employees will have all such unpaid leave deducted from their salary, while exempt salaried employees will experience salary reductions only in units of a full day or week at a time, depending upon the exact nature of the absence, unless partial-day deductions are specifically allowed under federal law); and
13. If my employer pays any insurance premiums or retirement system contributions ("payments") on my behalf that I would normally make under the applicable Company benefit plan, the amount of such payments made by the Company, such payments being an advance of future wages payable to me.
14. (Any other items appropriate for your company's situation - go over this with your attorney).

I agree that the Company may deduct money from my pay under the above circumstances, or if any of the above situations occur. I further understand that the Company has stated its intention to abide by all applicable federal and Texas wage and hour laws and that if I believe that any such law has not been followed, I have the right to file a wage claim with appropriate Texas and federal agencies.

 

Employee's Printed Name: ____________________

Employee's Signature: _______________________

Position: ___________________

Date: ___________________

The signed original copy of this receipt should be given to management - it will be filed in your personnel file.