Login

Town Of Allenstown

smulholland@allenstownnh.gov

16 School St, Allenstown , NH, 03275, US

603-485-4276

Town of Allenstown Payroll Deduction Form

FLEXIBLE SPENDING ACCOUNTS

FSA accounts can be used for Medical and Dependent care purposes. Employees should read the requirements for FSA usage. This information can be found on the Human Resource Page of the Town website or directly through Health Trust's website. When calculating the amount to be deducted per pay period take the total annual amount and divide by the 26 pay periods.
http://www.allenstownnh.gov/human-resources

SUPPLEMENTAL RETIREMENT OPTIONS AND OTHER DEDUCTIONS

I hereby authorize the Town of Allenstown to withold the above sums of money on my behalf for the purposes indicated in accordance with the provisions of RSA 275:48 and to continue to do so until I specifically terminate that authorization in writing.   
Draw Type
I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.