Contribute via PayPal

Contribute using PayPal

Mail a Contribution

Send a check or money order to:

Rollins Employee Relief Fund C/O Rollins Payroll Department 2170 Piedmont Road NE Atlanta, GA 30324

Questions about making a contribution, contact us.

Payroll Deduction

Payroll Contribution Form in PDF format (can be completed onscreen and printed) or complete the online form below:

Contributions to Rollins Employee Relief Fund through payroll deduction will be tax deductible. Documentation for tax reporting purposes will be provided on your pay stub provided by Rollins, Inc., or its subsidiaries or affiliates.

Full Name:


Employee Address Book # (required):

Branch/Region/Office Location # (required):

Please mark the appropriate designation:

New Sign UpChange to Existing ContributionCancellation of Contribution

Please select one of the following options:


If other, please fill in the amount:

This contribution will continue unless and until I notify the Fund
in writing of my intent to change or cancel it.


I prefer to make a one-time contribution in the flat amount of:

Employee Signature (required)

(yyyy-mm-dd format for manual entry)

Please type the correct characters to verify you are human.



Donations to the Rollins Employee Relief Fund can be made in 3 different ways:

  • Rollins employees can set up recurring or one-time payroll deduction(s) by submitting the online or PDF form below.
  • Rollins employees, family members and/or friends can set up a one-time or recurring donation(s) via PayPal (click on the link below).
  • Rollins employees, family members and/or friends can send in a check or money order to the address listed below.