SMBS Payroll Deduction Form
The mission of the Sheriff's Memorial and Benevolent Society of Travis County is to provide assistance to employees and their families in times of need. SMBS is a non-political non-governmental 501(c)(3) charitable corporation. It was created to accept donations from any outside source and in turn give those monies or property to employees, families and friends of Travis County and the Sheriff's Office in the case of emergency or misfortunes of nature. The funds can also be used for memorials, scholarships, other educational programs, the preservation or enhancement of the jail chaplaincy program of Travis County, and the support of any public safety project or program. Political activity is contrary to the purposes of this corporation. EIN# 01-0722641
Donor Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Employee SAP ID#
Department
Deduction
I want to contribute the following to the SMBS each pay period. Donations may be customized to a whole dollar amount, minimum amount of $3.00.
Deduction Amount
$3 per pay period
$5 per pay period
$10 per pay period
$15 per pay period
$25 per pay period
$50 per pay period
If you wish to deduct a different amount than listed above, please notate here.
Submit
Should be Empty: