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Student Forms

2015 Student Payroll Calendar Document icon
Information on deadline dates for web entry of student time and pay dates.
Community Assistant Document icon
Community Assistant Profile Sheet
Community Service Learning Document icon
Federal Student Employment Profile/Job Assignment
Direct Deposit Document icon
Please include a voided check with the direct deposit application
Employee's Nonwithholding Application Certificate Document 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 Study Document icon
Federal Work Study Students
Graduate Assistant Document icon
Graduate Assistant Students with Contracts through the Graduate School
Graduate Director Document icon
Graduate Director Profile Sheet
GRANT Profile Sheet Document icon
Grant Student Employment Profile/Job Assignment
How to Access Employee Self-Service (ESS) and eTime Document icon
Initial Instruction on How to Set up and Access Employee Self-Service (ESS) and eTime
I-9 for 2015 Document icon
2015 I-9 form to be completed for employment.  Needs to be submitted to the Payroll Office.
Instructions for Saving Profile Sheet Forms Document icon
All profile sheets are now to be typed.  See instructions for details.
Intent to Enroll Document 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 - 2015 Document icon
Local Services Tax - Exemption Certificate 2015 - Tax Year Application for Exemption from Local Services Tax
Math Tutor Document icon
Math Tutor Profile Sheet
OHRL - Movers Document icon
For Movers only
Residency Certification Form: Change of Address Document 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 Assistant Document icon
UE/Grant Student Employment Profile/Job Assignment - RA
State Work Study Application Document icon
This is for all Pennsylvania Resident Students who do not fall under Federal Work Study
Statement Of Citizenship Status Document icon
Please fill this form out yearly if you are a nonresident alien.
Teaching Associate Document icon
Teaching Associate Profile Sheet
UE PROFILE Sheet Document icon
UE Student Employment Profile/Job Assignment
W-4 for 2015 Document icon
Form W-4, ensures your employer can withhold the correct federal 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.