Below is information needed to build your ePledge site. Please complete the information below and an ePledge Support Specialist will be in contact with you once the form is received. Please keep a copy for your records.
Employee File (Standard)
Single Sign On (SSO)
Campaign Kickoff Date
Campaign End Date
Payroll Deduction Start Date
Total # of Employees
Upload Company Logo (color, JPEG or PNG file)
Upload a current employee file in Excel format.
Please make sure your employee file contains the following data elements (required data elements are marked with an asterisk*): First Name*, Last Name*, Work email*, Employee ID, Division/Department, Location, # of pay periods.
Does your company participate in any matching programs?
No. We do no participate in a matching program. Please exclude this option.
Yes. We are participating in a matching program. Include this option.
Please describe your company matching program
Pledge Type Options
Bill Me ($100 minimum)
Credit or Debit Card ($25 minimum for recurring payments)
For Cash or Check: Please provide instructions of person/place who will collect these payments.
For Payroll Deduction: Select the pay periods schedule(s) that your employee can choose for payroll deduction.
52 - Weekly
26 - Bi-Weekly
24 - Semi-Monthly
12 - Monthly
1 - One Time
Does your company have multiple sites or locations?
Please attach a listing of all locations/sites and addresses.
Will your company be offering paper pledges during your campaign?
What are the number of pay periods?
Does the coordinator plan to enter the pledge cards into the epledge system?
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