Selkirk/BHV Payroll Inquiry Form
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.
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):
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Please indicate how we can help you:
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