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Employee Payroll Deduction Form

LFCC employees, please complete and submit this online form to donate to the Foundation through payroll deduction. Contact Liv Heggoy at 540-868-4091 or lheggoy@lfcc.edu if you have any questions or need assistance.

Thank you for your kind donations to benefit our students!

  • Your Information:

  • Optional
  • Contribution Options:

  • Click the plus icon to the right to add more contribution designations.
    FundAmount Per Pay Period 
    Add a new row
  • Public Recognition:

  • Agreement:

  • By initialing below and submitting this form, I attest that the information on this form is correct and am authorizing the amounts indicated above to be donated to the LFCC Educational Foundation via payroll deduction.
  • Please initial below to accept the statement outlined above.
  • This field is for validation purposes and should be left unchanged.
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