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Hexaple Store Payroll Deductibles Authorization

This Payroll Deduction Authorization Form allows employees to have the expenses incurred at Hexaple Stores (both in-store and online) 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 Store purchases from your net pay.

The program provides a convenient way for employees to pay for products and services purchased at Hexaple Stores. 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 Hexaple Store purchases and deduction amounts on your pay stub each pay period and on your 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.
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Deduction authorization
When do you authorize Hexaple to start deducting your payroll for Hexaple Store purchases?
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When is the last day Hexaple can deduct your payroll for Hexaple Store purchases?
Specify the date
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Review and sign

I, (HexaLink no.: HECA), hereby authorize Hexaple to deduct my monthly payroll for Hexaple Store purchases, effective from to .

Enter your legal full name to e-sign the authorization form.
Choose one of the following verification methods to continue.

Enter your 6-digit one-time passcode generated by your Authenticator app on your mobile device.

Enter your 8-digit hToken generated on hexaple.com/hexaauth. HexaID required.

Enter your 4-digit Card PIN.