Survey options Resume saved session Save for later default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. FoodNOW Payroll Deductibles Authorization This Payroll Deduction Authorization Form allows employees to have the expenses incurred at FoodNOW operated by Hexaple Food Services to be automatically deducted from their paycheck on a periodic basis. By completing and signing this form, you authorize Hexaple to deduct the total amount owed for your FoodNow purchases from your net pay. The program provides a convenient way for employees to pay for meals, snacks, and other food items purchased at all food outlets operated by FoodNOW. Charges will accumulate during each pay period, and the total amount will then be deducted from your upcoming paycheck. This deduction will continue to be made until you submit a request to discontinue it or your employment is terminated. You can view an itemized statement of your FoodNow purchases and deduction amounts on your pay stub each pay period and on your FoodNOW account. Personal details Enter your HexaLink number Locate your number under your portrait on your HexaLink. HECA Enter your legal full name Enter your date of birth Please complete all parts of the date. Answer must be less or equal to 12-22-2024 Month Month 01 02 03 04 05 06 07 08 09 10 11 12 - Day Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - Year Year 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Date in the format: MM-DD-YYYY Format: MM-DD-YYYY Deduction authorization When do you authorize Hexaple to start deducting your payroll for FoodNow purchases? Please complete all parts of the date. Answer must be greater or equal to 12-22-2024 Month Month 01 02 03 04 05 06 07 08 09 10 11 12 - Day Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - Year Year 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050 2051 2052 2053 2054 2055 2056 2057 2058 2059 2060 2061 2062 2063 2064 2065 2066 2067 2068 2069 2070 2071 2072 2073 2074 2075 2076 2077 2078 2079 2080 2081 2082 2083 2084 2085 2086 2087 2088 2089 2090 2091 2092 2093 2094 2095 2096 2097 2098 2099 2100 2101 2102 2103 2104 2105 2106 2107 2108 2109 2110 2111 2112 2113 2114 2115 2116 2117 2118 2119 2120 2121 2122 2123 2124 2125 2126 2127 2128 2129 2130 2131 2132 2133 2134 2135 2136 2137 2138 2139 2140 2141 2142 2143 2144 2145 2146 2147 2148 2149 2150 2151 2152 2153 2154 2155 2156 2157 2158 2159 2160 2161 2162 2163 2164 2165 2166 2167 2168 2169 2170 2171 2172 2173 2174 2175 2176 2177 2178 2179 2180 2181 2182 2183 2184 2185 2186 2187 Date in the format: MM-DD-YYYY Format: MM-DD-YYYY When is the last day Hexaple can deduct your payroll for FoodNOW purchases? Choose one of the following answers Please choose... Until the end of contract Until further notice Specific date Other: Other: Specify the date Please complete all parts of the date. Answer must be greater or equal to 12-22-2024 Month Month 01 02 03 04 05 06 07 08 09 10 11 12 - Day Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - Year Year 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050 2051 2052 2053 2054 2055 2056 2057 2058 2059 2060 2061 2062 2063 2064 2065 2066 2067 2068 2069 2070 2071 2072 2073 2074 2075 2076 2077 2078 2079 2080 2081 2082 2083 2084 2085 2086 2087 2088 2089 2090 2091 2092 2093 2094 2095 2096 2097 2098 2099 2100 2101 2102 2103 2104 2105 2106 2107 2108 2109 2110 2111 2112 2113 2114 2115 2116 2117 2118 2119 2120 2121 2122 2123 2124 2125 2126 2127 2128 2129 2130 2131 2132 2133 2134 2135 2136 2137 2138 2139 2140 2141 2142 2143 2144 2145 2146 2147 2148 2149 2150 2151 2152 2153 2154 2155 2156 2157 2158 2159 2160 2161 2162 2163 2164 2165 2166 2167 2168 2169 2170 2171 2172 2173 2174 2175 2176 2177 2178 2179 2180 2181 2182 2183 2184 2185 2186 2187 Date in the format: MM-DD-YYYY Format: MM-DD-YYYY Review and sign I, (HexaLink no.: HECA), hereby authorize Hexaple to deduct my monthly payroll for FoodNOW purchases, effective from to . Enter your legal full name to e-sign the authorization form. Choose one of the following verification methods to continue. Choose one of the following answers hToken+ hToken and Card PIN Enter your 6-digit one-time passcode generated by your Authenticator app on your mobile device. Only numbers may be entered in this field. Enter your 8-digit hToken generated on hexaple.com/hexaauth. HexaID required. Yes No Enter your 4-digit Card PIN. Only an integer value may be entered in this field. Submit Resume saved session Save for later Clear and start over Exit and clear survey Please confirm you want to clear your response?