Donation Form

Corewell Health South - Payroll Deduction Form
Please enter the amount you want to contribute each pay period. For example, if you would like to give $2 per pay period, enter $2 below. Please note, an amount of $5 per pay period is required to have the option of selecting a specific designation – amounts below $5 per pay period will be designated to the Grateful Giving Hope Fund by default.
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