University of Rochester's Workplace United Way Campaign 

Complete a quick, easy payroll deduction pledge below. 

United Way Payroll Contribution

First Name

Last Name

Work Email Address

Donation Amount Withdrawn Each Pay Period  

Optional: Support a specific county in the United Way of Greater Rochester and the Finger Lakes service area (Genesee, Livingston, Monroe, Ontario, Wayne, Wyoming) or a Donor Choice Organization

Leave the text box blank if you are giving to United Way's Community Impact Fund to address some of the most significant challenges in our community and help people across all stages of life and levels of need. If you would like to direct all or a portion of your gift to a donor choice organization, you may do so by entering the organization name or ID# and donation amount above, $50 minimum for all designations. Donor choice information can be found at unitedwayrocflx.org/donorchoice. 

Online Signature

Please enter your initials:

AUTHORIZING A REGULAR PAYROLL DEDUCTION
I understand that I am under no obligation to contribute to United Way of Greater Rochester and the Finger Lakes. If I decide to contribute to United Way by authorizing deductions from my pay to be forwarded to United Way, it is a decision I make voluntarily. This form is for donating via payroll deduction.  By completing this form, you are authorizing the payroll deduction to be made July 2025 to June 2026.

Any personal information you provide is administered by the United Way. United Way of Greater Rochester and the Finger Lakes, Inc. is committed to protecting your privacy. For a complete copy of our privacy policy visit https://unitedwayrocflx.org/About-Us/Policies