Fillable Student Payroll Packet Checklist of Employment at UC (Ursinus College)

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Student Payroll Packet Checklist of Employment at UC (Ursinus College)

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Country of origin: US
File type: PDF

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Student Payroll Packet Checklist
Renewal
of
Employment
at
UC
THIS
IS
NOT
MY
FIRST
JOB
ON
CAMPUS.
I will complete the following steps:
__
Complete Student Employment Contract
•
You
complete Section A
• Your employer must complete Section B
Complete Residency Certification Form
(if
you
address
has
changed)
• Complete Section 1
•
Sign
and
date
the
form
• The Business Office has listings
to
help you complete
the
"Resident
PSD
Code" information in Section
1.
__
Complete
the
direct
deposit authorization
form
(if your banking info
has
changed)
• Complete this
form
and attach a voided check
•
If
you are requesting direct deposit
to
your savings account, attach a form
from
your
bank showing account and transit
number
of
your
bank.
All
of
the above documentation
must
be turned into the Human
Resources
Office
in
order for
you
to get
paid
for your employment.
---------------
---------
-----
URSINUS
COLLEGE
STUDENT
EMPLOYMENT
CONTRACT
Your
first
responsibility in accepting employment
is
to
complete all
the
required documents.
Please
refer
to
the
appropriate employment check list included
with
the
student employment packet
to
assure all
documentation is completed.
Return
form
to
the
Human Resources office located
on
the
lower
level
of
Corson Hall.
SECTION
A:
STUDENT
INFORMATION (Print Clearly)
Name:
_____________________________
_
Campus Address:
_________________________
_
Phone Number:
__________________________
_
The
Higher Education
Act
of
1965, as amended
(HEA),
in
Section 441{a) states
that
the purpose
of
the
Federal Work
Study
(FWS)
Program is
to
promote
the
part-time
employment
of
students
who
are in need
of
earnings
to
pursue courses
of
study. As a
student
participating in
part-time
work
at
Ursinus College, whether
FWS
or
otherwise,
it
is
my
understanding
that
the
college
will
not
permit
student workers
to
work
during scheduled class times.
STUDENT
SIGNATURE:
_______________
Date:
_______
_
Expected Graduation Date:
________
_
SECTION
B:
POSITION
INFORMATION (Completed
By
Employer)
Position Title:
________________
Hours
per
Week:
_______
_
Student is (check one):
---
New
to
position
---
Returning
to
position
Date student is
to
begin work:
_____
(Contract must be received
by
Business Office/Payroll first)
Department Charged:
__________
Account Charged:
_________
_
Hourly Rate:
$
____
_
The Higher Education
Act
of
1965, as amended
(HEA),
in
Section 441(a) states
that
the purpose
of
the
Federal Work
Study
(FWS)
Program
is
to
promote
the
part-time
employment
of
students
who
are in need
of
earnings
to
pursue courses
of
study.
As
a
student
participating in
part-time
work
at
Ursinus College, whether
FWS
or
otherwise,
it
is
my
understanding
that
the college
will
not
permit
student workers
to
work
during scheduled class times.
EMPLOYER
SIGNATURE:
Date:
For Office
Use
Only:
Dept Code:
PC
TS
File Number:
Rate Code:
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signature
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signature
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CLGS-32-6 (8-11)
RESIDENCY CERTIFICATION FORM
Local Earned Income Tax Withholding
TO
EMPLOYERS/TAXPAYERS:
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.
This form must
be
utilized
by
employers when a
new
employee
is
hired
or
when a current employee notifies employer
of
a name and/or address change.
EMPLOYEE
INFORMATION
-
RESIDENCE
LOCATION
NAME
(Last Name, First Name, Middle Initial)
STREET ADDRESS (No PO Box, RD
or
RR)
SECOND LINE OF ADDRESS
CITY
MUNICIPALITY (City, Borough
or
Township)
COUNTY
EMPLOYER BUSINESS NAME (Use Federal ID
Name)
Ursinus College
15TATE
IZIP
CODE
1
RESIDENT PSD C
Qr
I I I I I
STREET ADDRESS
WHERE
ABOVE EMPLOYEE REPORTS
TO
WORK
(No
PO
Box, RD
or
RR)
601
E.
Main Street
SECOND LINE OF ADDRESS
CITY
Collegeville
MUNICIPALITY (City, Borough
or
Township)
Collegeville
STATE
PA
ZIP
CODE
19426
I
I
1QCIIAL
rcrlr
t•rJrB1
IDAYTIME PHONE NUMBER
ITOTAL RESIDENT EIT RATE
PHONE NUMBER
610 409-3000
I I
COUNTY
Montgomery
WORK
LOCATION
PSD
CODE
461201
WORK
LOCATION NON-RESIDENT
EIT
RATE
1.00%
CERTIFICATION
Under
penalties
or
perjury, I (we) declare that I (we)
have
e)(llmined
this
information, including all accompanying
schedules and statements and
to
the
best
or
my
(our) belief, t
hey
are
true, correct and complete.
I
SIGNATURE OF EMPLOYEE
DATE (MM/DD/YYYY)
PHONE
NUMBER
I EMAIL ADDRESS
For information on obtaining the appropriate MUNICIPALITY (City, Borough, Township), PSD CODES and EIT (Earned Income Tax) RATES,
please refer
to
the Pennsylvania Department
of
Community & Economic Development website:
www.
newPA.com
Ursinus
College
STUDENT
PAYROLL
DIRECT
DEPOSIT
AUTHORIZATION
FORM
Name:
_____________
Social Security Number:
________
(no dashes)
Direct Deposit requires full
net
pay
to
be distributed
to
the
checking
or
savings account listed below.
IMPORTANT
NOTE:
You must attach a voided check
or
form from
your
bank showing
your
account
number
and
transit/routing
number
for
the
bank.
Return all
information
to
the
Human Resources Office located
on
the
lower
level
of
Corson Hall.
BANK
ACCOUNT
INFORMATION
Financial
Institut
i
on
Name, Address and Phone
Number:
Bank Transi
t/Ro
u
ting
Number
(9 digits):
Account Number:
Net Payroll
will
be deposited
to
this
account:
Savings
Checking
Action
to
be taken:
Start Stop
Change
Authorization:
I hereby authorize Ursinus College
(the
"College")
to
ini
tiate
direct
deposit
into
the
account and
fi
nancial
institution
listed above. Payroll
direct
deposits
will
be
made
to
the
account listed above
until
I choose
to
terminate
this
agreement
by
submission
of
a
new
Direct Deposit Authorization
form,
allowing a
reasonable
amount
of
time
for
the
College
to
process such a change. Furthermore, I understand
that
termination
of
employment
with
the
College shall constitute sufficient authorization
to
terminate
this
agreement.
Should funds be erroneously deposited
into
my
account, I authorize
the
College
to
debit
my
account
for
an
amount
not
to
exceed
the
amount
of
the
deposit.
EMPLOYEE
SIGNATURE:
______________
DATE
:
_________
_
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Student Payroll Packet Checklist of Employment at UC (Ursinus College)

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Completed 24 July 2020

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