Faculty and Staff Forms

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Time and Attendance
Time and Attendance Form
Change of Address/Wage Tax Form
Fill out to change Permanent Address
Statement Of Citizenship Status
Please fill this form out yearly if you are a nonresident alien.
Deferred Compensation Salary Deferral Agreement
Pennsylvania Deferred Compensation Program Form
Decline Pay Statement Authorization
This document authorizes the Pennsylvania State System of Higher Education to stop issuing a biweekly paper pay statement. Your pay statement will be available electronically through Employee Self Service (ESS).
Direct Deposit Form
  Please include a voided check with the direct deposit application
Dual Compensation Form
Request Form for Dual Employment
Savings Bond Form
Necessary to enroll in the Savings Bonds program
SCUPA (Full-Time) Time and Attendance Form
Time sheet for full-time SCUPA employees 
SCUPA (Part-Time) Time and Attendance Sheet
Time sheet for part-time SCUPA employees
TSA Salary Reduction Agreement
Form to participate in the Tax-Sheltered Annuity Program
2009 W4
Complete so your employer can withhold the correct federal income tax from your pay
I-9 (rev 08-07-09)
All employees, citizens, and noncitizens, hired after November 6, 1986, and working in the United States must complete a Form I-9.
LST
If you are making less than $12,000, you can apply to waive the local service tax
 
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  • Office Hours
  • Monday through Friday
  • 8:00 a.m. – 4:30 p.m.