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Payroll Office Forms

For questions, contact Payroll, amschmitz@viterbo.edu 608-796-3854

Benefits Forms

Links
Flex Online Account Access

 

Files

PDF icon Flex Plan Direct Deposit Form
PDF icon Health Insurance Change Form (add dependents)
PDF icon Dental Plan Change Form
PDF icon Retirement Plan Salary Reduction Form
PDF icon Flex Plan Claim Form

 

Payroll Forms

Links
I-9
W-4
Iowa Residency Form
Nonresident Employee's Withholding Reciprocity Declaration
Wisconsin Withholdings Form

 

Files

Microsoft Office document icon Online Pay Advice Guide
Microsoft Office document icon Payroll Time Card
PDF icon Vacation/Sick Leave Form (Admin and Faculty)
PDF icon Change of Address Form
 

Miscellaneous Forms

Links
Performance Evaluations
Position Descriptions
FMLA Certificate-Employee Health Condition
FMLA Certificate-Family Member Health Condition
FMLA Certificate-Military Service Member Leave

 

Files

PDF icon Tuition Exchange Application
PDF icon Tuition Remission Application
 
 

Find Out More

  • Human Resources
  • Job Announcements
  • About La Crosse
  • Payroll Office
  • Payroll Dates
  • Payroll Office Forms
  • Health Insurance
  • Retirement Plan
  • Tuition Remission and Exchange Programs
  • Additional Employee Benefits
  • Employee Assistance Program
  • Holiday Schedule
  • Service Time Off
  • Employee Franciscan Recognition
Related Resources
  • Campus Map
  • Organizational Chart
  • Viterbo University Employee Handbook
  • Sexual Misconduct/Title IX Coordinator
  • HR for On-campus Users (login required)

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