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Marshall Employee Payroll Deduction Form

Employee Payroll Deduction Pledge Form

  • Please enter your employee badge number.
  • Please know that we do not share your information with other parties.
  • My Gift to Partner In Health:

    I would like to help provide quality healthcare services to the Western Slope of El Dorado County and pledge through Marshall Foundation for Community Health as indicated below:
  • Please enter the amount you would like to contribute per pay period.
  • Tell us the area or fund you would like to support. Please enter "NA" if selection is made above.
  • This field is for validation purposes and should be left unchanged.