The 2024 iCare, iGive Campaign takes place

SSM Health St. Louis Employee Payroll Deduction Form

Thank you for your support. Your donation is tax-deductible to the extent allowed, as no goods or services were provided. Your final 2021 pay-stub will serve as your tax receipt. *Payroll deduction selections will begin the first pay period in July. Previously selected payroll deduct donations will renew automatically unless changed by the employee through submission of a new form. You may change or stop payroll deductions anytime by submitting your request via email to or For more information, please call 314-577-5605.

Employee Giving Campaign Payroll Deduct Form

1Personal Information
2Work Information
3Donation Options
  • Your Information

    Please add your information below.