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UA Statewide HR Forms (Payroll)
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HR Employee Forms

Payroll Forms:

Form Name Available Formats
(Icon Legend)
Form Descriptions
Automatic (Direct) Deposit Request Form Adobe PDF format file Computer enterable Adobe PDF format file To add, change, or delete automatic (direct) deposit of pay to bank accounts.
Campus Card Deduction Form Adobe PDF format file To request a payroll deduction to credit a campus card (UAA Wolfcard, UAF Polar Express card, and/or UAS Whale Card).
Direct Deposit Request Form Adobe PDF format file Computer enterable Adobe PDF format file To add, change, or delete the direct deposit of pay to bank accounts.
Employee Selected Deduction Form Adobe PDF format file Used for optional payroll deductions not related to benefits.
Employee Work Activity Outside of Alaska Form Adobe PDF format file Used to report employee work activity outside of Alaska.
Salary Advance Request Form Adobe PDF format file To request a salary advance for extreme family emergencies.
Social Security Exemption for Temporary Employees Adobe PDF format file To request exemption from Social Security (for temporary employees).
Timesheet Exempt Adobe PDF format file Computer enterable Adobe PDF format file To report time worked for exempt personnel classifications.
Timesheet Nonexempt Adobe PDF format file Computer enterable Adobe PDF format file To report time worked for non-exempt personnel classifications.
W-4 Form (2009)
Computer enterable Adobe PDF format file To declare your federal tax withholding status for 2009.
W-4 Form (NRA) Computer enterable Adobe PDF format file Form to declare your federal tax withholding status. Pre-completed for nonresident aliens.
W-5 Form (2009)
Computer enterable Adobe PDF format file To request, if eligible, receipt of part of the earned income credit (EIC) in advance with your pay.
W-9 Form Adobe PDF format file To Request Taxpayer Identification Number

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