UTech Pre-Authorization Form

University Campus Store logo

For questions, please contact Alex Khan
Phone 801-581-4776 or email akhan@campusstore.utah.edu


Payroll Deduction Election and Authorization

University Of Utah Campus Store

Payroll Deduction Election and Authorization

University Campus Store Payroll Deduction Program for University of Utah Employees

Guidelines and Frequently Asked Questions


Guidelines for the University Campus Store Payroll Deduction Program:

  1. Payroll deduction is currently available for computer hardware and software purchases only; it cannot be used for textbooks, general books, educational supplies, merchandise, or other services.
  2. University employees are eligible for payroll deduction after they have been employed for 90 days.
  3. Only University employees may use payroll deduction; family members are not eligible for payroll deduction. The employee must be present to sign the Payroll Deduction Election and Authorization Form. Employee must present a valid University ID at the time of purchase.
  4. An initial setup fee of $20 will be payable at the time of purchase for each payroll deduction.
  5. After a product is purchased on this program, the payroll deduction will begin with the next paycheck.
  6. Only one deduction is allowed at one time.
  7. Payroll Deduction Credit Limit is $2,000.
  8. Purchase Amount/Pay Periods are as follows: Purchases from $50-$100 can be taken out in up to 3 pay periods; from $101-$500 up to 6 pay periods; from $501-$1,000 up to 8 pay periods; from $1,001-$1,500 up to 10 pay periods; and from $1,501-$2,000 up to 12 pay periods.

Frequently Asked Questions:

  • What if I don't have my ID card with me?
    We can hold your order until you can return with your ID card. We cannot process an order without a copy of your ID card.
  • Can I purchase more than one item at a time?
    Yes, but you cannot exceed the established credit limits without manager authorization.
  • What if I want to spend more than the established credit limits and the person I'm working with cannot contact the appropriate manager?
    We will request approval for your order and call you once we have heard back on the request.
  • What if I leave the University and still owe money?
    If the amount owed is not satisfied/paid through payroll, you will have 30 days to remit full payment before it is sent to collections. If a payment plan is set up you will be charged a $10.00 per month or 1.5% interest rate each month (whatever is higher). The Campus Store reserves the right to waive this fee.
  • Can I put a deposit on my purchase, and pay the balance through payroll deductions?
    Yes. On the forms, we will list the amount paid, and then list, "balance of $___ to be paid through payroll deduction."
  • What will I see on my paycheck?
    You will see a deduction code and an abbreviated description such as STR067 - Campus Store. The total on your paystub is cumulative for the year; if you have multiple payroll deductions, the total on your paystub will reflect total payroll deductions for the year.
  • Can I extend the number of pay periods that I pay for my purchase?
    No. We need to stay within the established guidelines of 3, 6, 8, 10, or 12 deduction periods.
  • When will the first payroll deductions happen?
    The deduction will start on the paycheck for the pay period the payroll deduction was purchased. (1st through 15th - paycheck dated the 22nd; 16th through the EOM - paycheck dated the 7th)
  • Where do I inquire on my payroll deduction balance?
    Please call our Accounts Receivable desk at 801-581-3454
    Online Payments can be made at the Campus Store website. Please don't forget to put your UNID in the comments section.

(For Computer Products ONLY)

Beginning with my next paycheck; or the following paycheck if necessary for processing, I (Your First and Last Name) , authorize the University of Utah Payroll Department (the "University") to deduct from my wages each pay period the amount of $_______ to be remitted and applied to my account with the University Campus Store for computer products until the total balance due on my account in the amount of $_______ has been paid in full.

If the Campus Store authorizes a return you agree to still pay the $20.00 set up fee, this is non refundable. If the Campus Store allows you to add onto an existing Payroll Deduction you agree to pay the $20.00 set up fee for the add on. Exchanges may be allowed within 15 days of the original purchase date on unopened items.

I understand and agree that if, for any reason, my account with the University Campus Store is not paid in full by means of payroll deduction, I will be obligated to pay the full balance remaining due within 30 days after my last day of employment with the University. I further agree to pay a $10.00 service fee or 1.5% interest (whatever is higher)per month ($120.00 or 18% annually) if my account becomes more than 30 days past due. If my account is referred to an attorney or collection agency, I agree to pay actual attorney fees and collection expenses. The Campus Store reserves the right to waive this at anytime. I read and understand the above terms _____________

I understand that payroll deduction for computer products is available only to University of Utah faculty and staff member employed at least 30 hours/week (a minimum .75 FTE appointment AND Pay Status as Active with the University is required) for expenses incurred on behalf of themselves only. I certify that my employment meets these eligibility criteria and authorize the University Campus Store to verify eligibility.

User Agreement:

- I affirm that I do not currently have a payroll deduction through the UTech (Computer) Department of the University of Utah Campus Store and that I have been employed by the University of Utah at least 90 days.

If you currently have an active payroll deduction or have not been employed by the University for more than 90 days please contact the UTech department at 801-581-4776 for other payment options.

Today's Date (MM-DD-YYYY):

Your Name (First and Last):


Work Phone Number: Home Phone Number:

Employee Signature:

Billing Address:

How to calculate your per pay period payment:

Total Balance Pay Periods Pay Period Payment
$50-$100 3 Total Balance/Pay Periods
$101-$500 6 Total Balance/Pay Periods
$501-$1000 8 Total Balance/Pay Periods
$1001-$1500 10 Total Balance/Pay Periods
$1501-$2000 12 Total Balance/Pay Periods

For example, if you purchased the following:

Macbook Air 256GB (2017) - $1049 (Tax-Free for Staff and Faculty)
External Hard Drive 1TB - $79.99

Total - $1128.99.

Referring to our table above, this puts you in the category for 10 pay periods. Take your total balance ($1128.99) and divide it by number of pay periods you will be paying over (10).

$1128.99/10 = $112.90

$112.90 will be deducted from your paycheck each pay period.