Payroll-Related Forms and Templates
A request for approval of time away can be prepared using the online Absence Report available on the Employee Self Service web site or a specified departmental form.
- Employee Self Service (
Online Version ) - Specified Departmental Form (
PDF
version )
Address/Name Change Form
Replaces "Employee and Student Address" form. This document provides guidelines for Faculty, Staff, Retirees, Students and former Students to make changes to name and address.
- Address/Name Change Guide ( PDF
version )
Bi-Weekly Employee Time Records
These forms should be used to correct previously submitted biweekly hours or to report time that was not submitted online or electronically.
- Bi-Weekly Employee Time Record ( PDF
version )
- Bi-Weekly Employee Time Record -- Work
Study ( PDF
version )
Direct Deposit Form (Payroll/Benefits)
Set up and maintain your direct deposit information for any bank in the continental United States using the Employee Self Service web site or hard copy paper form.
- Employee Self Service ( Online
Version )
- Direct Deposit Form ( PDF
version )
Election to Transfer Sick Leave to Vacation
This form is for faculty appointed on a fiscal year basis and Professional and Scientific staff members employed in departments who have elected to report sick leave and vacation usage in terms of days.
- Election to Transfer Sick Leave to Vacation
( PDF
version )
Employee Eligibility Verification (I-9)
All employees, citizens and noncitizens, must complete this form at the time of hire.
- I-9 Form ( PDF
version )
Monthly Leave and Pay Adjustment Records
These monthly time records are categorized by job classification.
- Leave and Pay Adjustment Records -- Merit ( PDF
version )
- Leave and Pay Adjustment Record -- P
and S / Non-exempt ( PDF
version )
- Leave Record -- P and
S / SEIU / Fiscal Faculty ( PDF
version )
- Leave Record -- Academic
Faculty ( PDF
version )
Payroll Information Release Form
Permission to release your payroll information to the individuals or agencies that you approve.
- Information Release Form ( PDF
version )
This form is used when paying an individual for a service, who is using a social security number, who is not employed by or associated with The University of Iowa, who may be working under a consultant or contractual agreement, or who is an independent contractor.
- Payroll
Voucher ( PDF
version )
- Instructions
for Payroll Voucher ( PDF
version )
- Instructions
for Payroll Voucher (
- Compliance
Statement ( PDF
version )
REQUIRED
if foreign visitor is coming
in visa waiver (vw) or B
visa status.
- W-8BEN "Certificate
of Foreign Status of
Beneficial Owner for
United States Tax Withholding" (
link to IRS publication ) REQUIRED for ALL foreign visitors.
- link
to IRS instructions
for W-8BEN ( link
to IRS publication )
- link
to IRS instructions
for W-8BEN (
A withholding allowance certificate is required to be completed for the state in which you perform the services for The University of Iowa.
- Federal W-4 Withholding Form ( link
to IRS publication )
- Iowa W-4 Withholding Form ( link
to IRS publication )
- Illinois W-4 Withholding Form (Illinois residents MUST
also file an "Employee's Statement of Nonresidence in Iowa") ( link
to IRS publication )
- Employee's Statement of Nonresidence in Iowa (Illinois residents only) ( link
to IRS publication )
W-5 Earned Income Credit Advanced Payment Certificate
This form is used if you are eligible to get part of the earned income credit (EIC) in advance with your pay and choose to do so.