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Employee Withholding Allowance Certificates for States Other than Iowa and Illinois

A withholding allowance certficate is required to be completed for the state in which you perform the services for The University of Iowa, not your state of residency.  (For example, if you are a resident of Wisconsin but working here in the state of Iowa, then you should have Iowa withholding.)  To obtain an Employee's Withholding Allowance Certificate for a certain state (other than Iowa or Illinois), please select the appropriate link below.

Complete and sign the form and return to The University of Iowa Payroll Office at the following address:

 

University of Iowa HR - Payroll
120 University Services Bldg., Ste. 30
Iowa City, IA    52242-1911

State Employee's Withholding Allowance Certificate
California http://www.edd.cahwnet.gov/taxrep/de4.pdf
Colorado No State Form - Use Federal Form  (Please contact Payroll at payroll-web@uiowa.edu)
Connecticut http://www.ct.gov/drs/lib/drs/forms/2012withholding/ct-w4.pdf
DC http://cfo.dc.gov/otr/frames.asp?doc=/otr/lib/otr/tax/forms/forms/pdf/2004_D-4.pdf
Georgia State of Georgia Employee's Withholding Allowance Certificate
Indiana Employee's Withholding Exemption & County Status Certificate
Maryland http://forms.marylandtaxes.com/current_forms/mw507.pdf
Massachusetts http://www.mass.gov/dor/docs/dor/forms/wage-rpt/pdfs/m-4.pdf
Michigan http://www.michigan.gov/documents/mw4f_76761_7.pdf
Minnesota http://www.revenue.state.mn.us/Forms_and_Instructions/w-4mn.pdf
Missouri http://dor.mo.gov/forms/MO-W-4_2012.pdf
Nebraska No State Form - Use Federal Form  (Please contact Payroll at payroll-web@uiowa.edu)
New York http://www.tax.ny.gov/pdf/current_forms/wt/it2104_fill_in.pdf
North Carolina http://www.dor.state.nc.us/downloads/NC-4%20.pdf
Ohio http://www.tax.ohio.gov/portals/0/forms/employer_withholding/Generic/WTH_IT4.pdf
Oregon No State Form - Use Federal Form  (Please contact Payroll at payroll-web@uiowa.edu)
Pennsylvania No State Form - Flat Rate  (Please contact Payroll at payroll-web@uiowa.edu)
South Dakota No State Withholding
Virginia http://www.tax.virginia.gov/taxforms/Business/Withholding%20Tax/VA-%204.pdf
Wisconsin http://www.dor.state.wi.us/forms/with/w-204.pdf
States Not Listed Please contact Payroll at payroll-web@uiowa.edu