Selkirk/BHV Payroll Inquiry Form

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Please submit this form if you have questions or concerns about your pay. Please submit the form once for each area of concern. Note that uploading your pay statement is not required but may help us investigate your concern.

Have you spoken to the Admin Coordinator - Payroll about this concern? We encourage you to make an effort to speak with them before filling out this form.

Yes

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Please enter your name as it appears on your pay statement: *

Please enter the email address or phone number you would like us to respond to: *

Please enter the pay period number as it appears on your paystub (see below example):

Please indicate how we can help you:

There was a problem with my pay

I would like to see my time card so that I can verify I was paid correctly

I would like to request an Employment Verification Letter

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