Forms in the Office of Payroll Services

Please submit completed forms to payroll-services@iup.edu.

General Payroll Documents

• AFSCME Compensatory Time Request Form
• Change of Address / Residency Certification Form
  • To find your residential municipality, go to the PA Dept of Community and Economic Development Municipal Statistics
  • Faculty members will also need to contact the Pennsylvania Faculty Health and Welfare Fund directly to update their address for their vision and dental benefits. More information can be found on the APSCUF Forms and Benefits website
• Direct Deposit
• Dual Compensation/Employment
• Employee's Non-withholding Application Certificate (REV-419)
• Local Services Tax Exemption Form
• Meal Reimbursement Request Form
• Payroll Calendars: Faculty AY24-25 | Staff 2024 | Staff 2025
• Savings Bond Form
• SCUPA StandBy Timesheet
• Supplemental Payment Request Form / Instructions
• Time and Attendance
• Understanding Faculty Salary
• Understanding your pay statement
• W-4 Form, Employee's Withholding Allowance Certificate
• W-2 Reissue Request Form

Student Payroll Documents

• 2025 Student Payroll Calendar
• 2024 Student Payroll Calendar
• RA Payroll Calendar AY 24-25 
• GA Payroll Calendar AY24-25
• TA Payroll Calendar AY24-25
• Employee Self-Service (ESS) and eTime for Students