THE
UNIVERSITY
OF
ARKANSAS-MONTICELLO
Work Study
Transmittal
Section
1:
To be
completed
by
Student
New Worker Previous Worker
Additional
Employer_________
Name
Student ID
_
Permanent or Home Address ___________________________________________________________
City, State, Zip __________________________________________
E-Mail Address
__________________
(W-2 Forms will be sent to above
address)
Student's Signature
____________________________
Payroll documents (State & Federal W-4 &
1-9)
must be completed in the Financial Aid Office before a timesheet can be issued.
Retirement
Plan
Contributions
for
Non-Benefits
Eligible Employees (Part Time Faculty, Graduate
Assistants, Non-Student Extra
Help, and
Student Workers)
-All non-benefits eligible employees on the university payroll are eligible to participate in an unmatched 403(b)
Supplemental Retirement Account on a voluntary basis. If you are in a non-benefits eligible role, you will not receive any employer
contributions to your retirement plan, but you can make voluntary unmatched contributions. You may select TIAA and/or Fidelity Investments
for your retirement plan vendors. Within the IRS limits, you may enroll, end, increase, decrease, or suspend your contributions at any
time
.
Please contact UAM Personnel Office at (870) 460-1082 for more information
.
Students who are enrolled in fewer than 6 hours per semester (3 hours per summer term) will have FICA taxes (7.65%) deducted from their
wages.
No student will be allowed to work more than 20 hours per week without written permission from the department's supervising Vice-
Chancellor. This can be done by email.
Students must NOT be allowed to work until the supervisor has been notified by personnel. This step confirms the completion of necessary
forms and financial aid certification.
As a part of federal Health Care Reform, beginning in 2014 there will be new individual requirements to have health insurance and new ways
to purchase health insurance. In compliance with the federal guidelines, the University is providing the information at the following link to
assist you in making informed choices about your health care coverage
option
s
.
https://www.uamont.edu/Fin-Admin/pdfs/benefits/Health-Insurance-Marketplace-Notice.pdf
Section II: To be
completed
by
Supervisor
Account Name___________________________ ________ _________ ________ ____________
Business Unit Account Number Fund Department Number
The above named student will begin employment (date)
____________________
S
u
pe
rviso
r
:
______________________
Supervisor’s Printed Name Supervisor's Signature
Date:
Section
Ill:
To be
completed
by Financial
Aid
Initial Date
Amount for which student qualifies
_____________
Account Number Verified/Budget Checked
Completed
W-4 Information Attached
On File
Complete
d
1-9
Information Attached
________
On File
Student given Work Study Instructions
Section IV: To be
completed
by Payroll
Department
Date Input _________________________________________________________________
click to sign
signature
click to edit
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