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Student Forms

2016 Student Payroll CalendarDocument icon
Information on deadline dates for web entry of student time and pay dates.
Community AssistantDocument icon
Community Assistant Profile Sheet (CA)
Community Service LearningDocument icon
Community Service Learning Profile Sheet (CSL)
Direct DepositDocument icon
Please include a voided check with the direct deposit application
Employee's Nonwithholding Application CertificateDocument icon
Application for exemption of withholding of Pennsylvania state tax.  Residents of Indiana, Maryland, New Jersey, Ohio, Virginia or West Virginia should complete this form to have tax withheld for his/her state of residence.
Federal Work StudyDocument icon
Federal Work Study Profile Sheet
Graduate AssistantDocument icon
Graduate Assistant Profile Sheet - Students with Contracts through the Graduate School (GA)
Graduate DirectorDocument icon
Graduate Director Profile Sheet
Grant Profile SheetDocument icon
Grant Student Profile Sheet
How to Access Employee Self-Service (ESS) and eTimeDocument icon
Initial Instruction on How to Set up and Access Employee Self-Service (ESS) and eTime
I-9 for 2017Document icon
2017 I-9 form to be completed for employment.  Needs to be submitted to the Payroll Office.
Instructions for Saving Profile Sheet FormsDocument icon
All profile sheets are now to be typed.  See instructions for details.
Intent to EnrollDocument icon
Incoming Freshman enrolled for the fall semester must complete this form in order to work the summer before classes start
Local Services Tax - Exemption Certificate - 2017 (Students)Document icon
Tax Year Application for Exemption from Local Services Tax
Math TutorDocument icon
Math Tutor Profile Sheet
OHRL - MoversDocument icon
Profile Sheet for Movers only
Reading TutorDocument icon
Reading Tutor Profile Sheet
Remote Hire FormDocument icon
Form to be used by Off Campus Graduate Assistants that will not be working on IUP Main Campus.
Residency Certification Form: Change of AddressDocument icon
This form is to be used by employers and/or taxpayers to report essential information for the collection and distribution of Local Earned Income Taxes.
Resident AssistantDocument icon
Resident Assistant Profile Sheet (RA)
State Work Study ApplicationDocument icon
This is for all Pennsylvania Resident Students who do not fall under Federal Work Study
Statement Of Citizenship StatusDocument icon
Please fill this form out yearly if you are a nonresident alien.
Student Payroll Information: Fall 2016Document icon
Important fall student employment information.
Teaching AssociateDocument icon
Teaching Associate Profile Sheet (TA)
UE PROFILE SheetDocument icon
UE Student Employment Profile Sheet
W-4 for 2016Document icon
Form W-4, ensures your employer can withhold the correct income tax from your pay
  • Payroll Services Office
  • Sutton Hall, Room G11
    1011 South Drive
    Indiana, PA 15705
  • Phone: 724-357-2510
  • Fax: 724-357-7551
  • Office Hours
  • Monday through Friday
  • 8:00 a.m.–4:30 p.m.