Use the form below to make a Payroll Deduction to PeaceHealth Ketchikan Medical Center Foundation. All gifts are tax-deductible as allowed by law. Thank you for your generous support!
To donate by credit card, use this form.
To donate using cash or check, download and print this form.
Fill in the information below. Use the scroll bar on the right to move down the page. When finished, click the Save button located at the bottom of the form.
I understand that the above amount per pay period will be deducted from each paycheck until I instruct the foundation otherwise.
Are you close to your maximum allowable accrual of 420 PTO hours? Turn some into cash for the Medical Center’s programs and departments! You must have twice your status hours still available after your PTO donation; contact Payroll to verify. PTO donations aren’t tax-deductible, and will occur the 1st pay period in January, or the one following our receipt of this form after January.
Thank you for supporting the 2012-13 Caregiver Campaign. Click Save to submit your form.