Wichita State University -- Payroll Related Forms

Forms used by employees to record exceptions and/or hours worked, to request leave, deposit paychecks, change withholding, etc.

 Forms by Name  Purpose of this Form  Versions  Adobe
(*writable)
Advance Earned Income Credit, W-5 Use Form W-5 if you are eligible to get part of the earned income credit (EIC) in advance with your pay and choose to do so. See the form for "Who Is Eligible To Get Advance EIC Payments?"  

*PDF

Direct Payroll Deposit  Complete and submit with voided check or deposit slip for employee's salary to be deposited directly to their bank.

Word 

*PDF 

Earning Codes  Codes used on the exception report for various types of leave and/or earnings.  

PDF 

Exception Report  Departments with no faculty members may use this form for individuals to report exceptions to their schedule for timekeeping purposes.

Word 

*PDF 

Exception Report  Departments with faculty members may use this form for individuals to report exceptions to their schedule for timekeeping purposes.

Word 

*PDF 

FMLA Timekeeping Verification  Used to track Family Medical Leave Act certified absences for one diagnosis. Use this form to record the hours absent for each FMLA absence as the absence occurs.

Word 

*PDF 

Payroll Deposit  Complete and submit with voided check or deposit slip for employee's salary to be deposited directly to their bank.

Word

*PDF

Payroll Schedule  Schedule of pay periods,  pay dates and due dates for paperwork:   

FY2009
FY2010

Positive Time Reporting -- In/Out  An optional timekeeping form to record actual time in and out of the office.

 Word

*PDF

Resignation Form Letter  Employee should give supervisor written notice of resignation.

 Word

*PDF

Return to Work Authorization  Fifth page of FMLA Certificate of Health Care Provider -- this form must be completed by the employee's doctor and submitted to supervisor upon return, if the employee has been out on extended medical leave.

Word 

*PDF 

W-5, Advance Earned Income Credit Use Form W-5 if you are eligible to get part of the earned income credit (EIC) in advance with your pay and choose to do so. See the form for "Who Is Eligible To Get Advance EIC Payments?"  

*PDF

Tax Withholding, State K-4

 Employee completes this form to change number of dependents for State income tax withholding from salary.  These options may now differ from the Federal withholding elections made on Form W-4.  

*PDF

Tax Withholding, Federal W-4  Employee completes this form to change number of dependents for Federal income tax withholding from salary.

 

*PDF

Time, Leave or Overtime Request  Optional department timekeeping form for employees to officially request extra time worked or leave.

 Word

*PDF 

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This site is maintained by HUMAN RESOURCES. This page last modified on Thursday, April 09, 2009 11:13:52 AM Central US Time. If you find errors please bring them to the attention of Shelly Kellogg (shelly.kellogg@wichita.edu).