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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 FormPDF iconRetirement Plan Salary Reduction Form
PDF icon Flex Plan Claim Form

 

Payroll Forms

Links

I-9
WI W-4
Federal W-4

MN W-4 
Iowa Residency Form
Nonresident Employee's Withholding Reciprocity Declaration
 

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

HRES Student Time Entry Backup Form

 

Miscellaneous Forms

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

Employee Accident Reporting

 

Files

PDF icon Tuition Exchange Application
PDF icon Tuition Remission Application
 
 

Find Out More

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  • Employee Assistance Program
  • Service Time Off
  • About La Crosse
  • Employee Franciscan Recognition
  • New Employee FAQ
Related Resources
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  • HR for On-campus Users (login required)

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