Payroll Deduction

To make your gift to the School of Medicine, please complete and submit this online form. You will receive an acknowledgment of your gift by email confirmation. If you have any problems or questions, please email Giving@vcu.edu Thank you!

**Your VCU V Number is the identification number generated when a new employee is added to Banner.  It is a number with no meaning outside of Banner and presents minimal risk of identity theft as compared to a Social Security Number.  It is however, still considered confidential and protected under FERPA rules.  It may also be known as "Banner ID".  You can find your V number on employee self service.
* required information
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Donor Information
School of Medicine Donor Designations:*
Amount you want deducted per pay period:*
Number of pay periods you want the above amount to be deducted:*
Effective Date
**Deduction may take effect the next pay cycle depending on submission date:
*
(mm/dd/yyyy)
If you chose "Other" as your Donor Designation above, please specify the area you would like to support here:
Email:*
Title:*
First Name:*
Middle Initial:
Last Name:*
Suffix:
Business Phone:*
Job Title:*
VCU V Number:*

Tributes and Special Occasions
Tribute Type:
Enter the full name of the person being remembered or honored by your gift:
Gift From:
Person(s) to Notify First Name:
Person(s) to Notify Last Name:
Person(s) to Notify Address Line 1:
Person(s) to Notify Address Line 2:
Person(s) to Notify City:
Person(s) to Notify State:
Person(s) to Notify Zip Code:
Person(s) to Notify Country:
Occasion:
If Tribute type is On the Occasion of, please enter your occasion here:

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