Employee Payroll Deduction Gift Form

If you want to make a gift with a credit card, click here.

If you would like to make a gift through payroll deduction, or make a change to an existing deduction, please complete both steps of this form.

My Information

First Name

Last Name

UCPath Employee ID Number

Your employee UCPath ID number can be located on your paystub.
You can also log on to https://ucpath.universityofcalifornia.edu/home to access it. Your UCPath ID number is located in the upper left-hand corner of your home page dashboard.

Address

City

State

Zip Code

Country

Phone Number

UC Santa Cruz Email

Email

Confirm Email

ABOUT PAYROLL DEDUCTION

An Ongoing Gift is deducted from your paycheck each month, until you notify the payroll department to stop the payment. If you are paid bi-weekly, the monthly gift amount is deducted equally between paychecks. For months where there are three bi-weekly paychecks, the deduction will be taken on two of the three checks.

A Finite Gift is either deducted from a single paycheck, or, if you prefer, spread evenly over a specified amount of months. The deduction will stop when the total is reached.

It may take up to 6 weeks for the deduction to show up on your pay.

To begin, select, below, the type of payroll deduction you would like to use for your gift.

Please select an option:

Start an Ongoing DeductionStart a Finite DeductionCancel an existing payroll deduction

I would like to make an Ongoing Gift every month of (enter amount)

Please choose one:

THIS IS A NEW PAYROLL DEDUCTION GIFT PLANTHIS IS AN ADDITION TO AN EXISTING PAYROLL DEDUCTION GIFT PLANTHIS REPLACES AN EXISTING PAYROLL DEDUCTION GIFT PLAN

MY GIFT SUPPORTS

OTHER designation name

If you wish to make a donation to a designation other than the ones listed above you can visit the designation search tool to look for other giving opportunities. If you find a designation to give to, copy the information and paste it into the "OTHER designation name" field above.

If you would like to support multiple designations please submit this form again for each designation. On the additional submissions, please select "This is in addition to an existing payroll deduction plan".

Enter the total amount of your Finite Gift.

A Finite Gift can be fulfilled through installments. Enter the amount to be deducted, monthly, to fulfill your gift. If a one time payment, enter the full amount of the deduction.

Finite Gift Error Message

Please choose one:

THIS IS A NEW PAYROLL DEDUCTION GIFT PLANTHIS IS AN ADDITION TO AN EXISTING PAYROLL DEDUCTION GIFT PLANTHIS REPLACES AN EXISTING PAYROLL DEDUCTION GIFT PLAN

MY GIFT SUPPORTS

OTHER designation name

If you wish to make a donation to a designation other than the ones listed above you can visit the designation search tool to look for other giving opportunities. If you find a designation to give to, copy the information and paste it into the "OTHER designation name" field above.

If you would like to support multiple designations please submit this form again for each designation. On the additional submissions, please select “This is in addition to an existing payroll deduction plan”.

What is the amount of the payroll deduction you wish to cancel?

What is the designation of the payroll deduction you wish to cancel?