§ 8-3. Pay Check Release form

CITY OF ALAMOGORDO

PAYCHECK RELEASE FORM

TODAY'S DATE: _____________PAY DATE OF CHECK TO BE RELEASED:

EMPLOYEE NAME:

This is my written authorization to release my paycheck to:

(Name of Person Authorized to Pick Up Payroll Check)

I understand that my paycheck may only be picked up directly through the City Hall Payroll Office located at 1376 E. 9 ^th St. Authorized person must show proof of ID at the time of check pick up.

Employee's Signature

Signature of Authorized Person

Signature of Employee Releasing Check

Date

Date Check Picked Up

Date Check Released

Original: Personnel File

CC: Payroll