Wage Deduction Authorization

I understand and agree that Integrity HR Management, LLC and Company may deduct money from my pay from time to time for reasons that fall into the following categories:

1. my share of the premiums for group medical/dental plan

2. any contributions I may make into a retirement or pension plan sponsored, controlled, or managed by Integrity HR Management, LLC or 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 whether 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 to the Company of such overpayments

6. the cost to the Company of personal long-distance calls I may make, or messages I may send, using Company phones or Company accounts, of personal faxes sent by me using Company equipment or Company accounts, or of non-work related access to the Internet or other computer networks by me using Company equipment or Company accounts

7. the cost of repairing or replacing any Company supplies, materials, equipment, money, or other property that I may damage (other than normal wear and tear), lose, fail to return, or take without appropriate authorization from the Company during my employment

8. the cost of Company uniforms and of cleaning the uniforms

9. if I take paid 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 that is not so covered

I agree that Integrity HR Management, LLC and/or 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.


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Signature Certificate
Document name: Wage Deduction Authorization
lock iconUnique Document ID: 5c6f6f3b9262ec0ece02735d6cc9fe63cc82ec95
Timestamp Audit
January 4, 2021 3:22 pm CSTWage Deduction Authorization Uploaded by Kyleigh Halsey - kyleigh@integrityhrm.com IP
January 5, 2021 11:29 am CSTEmployee Services - employee@integrityhrm.com added by Kyleigh Halsey - kyleigh@integrityhrm.com as a CC'd Recipient Ip: