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Deduction from salary agreement form template

Reviewed 1 June 2021

Used by an employee to agree to a regular deduction from their salary.

Section 13 of the Employment Rights Act 1996 makes it unlawful for an employer to make deductions from an employee's wages unless the employee has given prior written consent, or a relevant provision exists to this effect in the employment contract.

Deduction from salary agreement

Name:  
Department:  
Item:  
Cost:  

I, [name], herby authorise the deduction of £[amount] from my salary each [week|month] in respect of [reason for deduction, e.g. sports and social club subscription, BUPA membership, etc.].

This letter does not authorise any other deduction(s) than that stated above, nor do I agree to any v

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