LifePoint Health Business Services - Payroll Deduction

Please select your pledge amount from the options below. If you prefer to contribute an amount other than what is listed below, please type that amount in the "Other Annual Contribution" field.

**The amount you have selected will be evenly distributed over your yearly pay schedule. 

Total Amount
LifePoint Health Business Services - Payroll Deduction


UW Community Impact Fund - Make the most powerful investment in my community by supporting a network of programs that meet our community’s most pressing needs. 

Early Childhood Development Initiative - Invest my pledge in programs that prepare children socially, emotionally, and academically for kindergarten. 

Parental Engagement Initiative - Invest my pledge in programs that increase parental knowledge of child development and care. 

Youth Drug & Alcohol Prevention - Invest my pledge in programs within our local school districts aimed at reducing drug and alcohol abuse among our youth.

If you are contributing to the United Way of the Laurel Highlands, please choose ONE of the first four options listed BELOW.


Please list your spouse/partner below. If your annual combined gift with your spouse/partner is $600 or more, you will be recognized in our Leadership Levels.


Contact me about Endowment & Planned Giving to the United Way.
Please note that by typing your signature, you are giving your permission to deduct your contribution via payroll (if applicable). Your contribution will be evenly divided across 12 pays via payroll deduction (if applicable) starting January 1, 2021 and ending June 30, 2021.
Payment Options
[x] Payroll Deduction