For Fall 2019 First Name * Last Name * Duke Unique ID * Telephone Number * Email Address * Total amount for Fall 2019 term to be deducted: (minimum $450) * $Note: Total amount will be equally divided over 4 months. Fall 2019 deductions will be taken in August, September, October, and November if your request is received by July 31, 2019. Requests received between August 1, 2019 and September 11, 2019 will be taken in September, October, and November. Deduction requests for Fall will not be accepted after September 11, 2019. Pay Type * - Select -MonthlyBi-weeklyNon-comp Additional Information or Comments: Terms & Conditions By submitting this form I authorize the Bursar's Office to make payroll deductions for the total amount and time period shown on the form above. I have read and agree to abide by the terms and conditions. Enrollment is subject to approval by the Bursar's Office. Submit
