Casual Staff Giving – Donation Form

Thank you for supporting Staff Giving.

This form allows Casual staff to give a one-off donation through payroll.

Section 1 - Your Details

Please Note: Fields with '*' are required as mandatory fields and must be filled in.

*Employee Number:
*First Name:
*Email Address:

Section 2 - Gift Details

All deductions including One-Off Donations will commence from the next available pay after receipt of this form. The minimum deduction per fortnight is $2. You may select one or more charitable organisations. Please note that from Casual staff are able to make one-off donations via payroll.

Name of OrganisationOne-Off Donation Amount

The University, through the Office of Advancement, ensures you as a donor are aware of how your gifts are making a difference. If you would prefer not to receive this correspondence please check the box below:

The University appreciates the opportunity to recognise the support of all donors. If you would prefer that your gift remain anonymous, please check the box below:

*How did you hear about Staff Giving?

Further details:  

Section 3 - Authorisation of Staff Member

By completing the Staff Giving Donation form I hereby request and authorise the Western Sydney University to deduct from my salary the amount/s as indicated in Section 2 above. I understand the University will NOT issue any receipt in respect of the donation but that the details of my annual contributions will be recorded on my payment summary.   

I understand that my personal details cannot be released to participating external charities without my express, written permission.   

I understand that Staff Giving deductions will be made from my pre-tax pay, so that I may receive any tax benefit immediately. I acknowledge that small fortnightly donations may not have an impact on my fortnightly tax withheld. This advice is provided as general guidance only. I understand that if I require further assistance, I should seek out independent personal taxation advice, or go to (opens in a new window) for further information.   

I understand that once a deduction has been made it cannot be recovered. I acknowledge that donations made under this arrangement are made voluntarily and unconditionally and I will not benefit from the donation other than the benefit of the deduction itself.   

I acknowledge that should I wish to change or cease my donation arrangement, I will notify the Office of Human Resources in writing, or contact