Forms: Budget, Payroll and Faculty/Staff
Payroll Forms

pdf icon Direct Deposit Form - CHECKING Account - Password protected. Contact Arlene Trapuzzano for access information: artrapuzzano@widener.edu.

pdf icon Direct Deposit Form - SAVINGS Account - Password protected. Contact Arlene Trapuzzano for access information: artrapuzzano@widener.edu

pdf icon Employee Expense Report - Updated March 2013 - Password protected. Contact Arlene Trapuzzano for access information: artrapuzzano@widener.edu. Used by faculty and staff to document expenses incurred by and payable to employee. Receipts must accompany form and appropriate dean or department head must sign form and send to Business & Administration.

pdf icon Flexible Spending Account Claim Form - Used by University employees who have established Flexible Spending Accounts and who wish to submit a claim for reimbursement. Consult Widener University administrative and support staff handbooks for additional information. Use the following link for instructions and to download a claim form: www.healthhub.com.

pdf icon W-4 IRS Form - Employees who wish to change their withholding allowance must complete a W-4 form and forward to Human Resources on the Chester campus. Use the following link to download a W-4 form directly from the Internal Revenue Service (IRS) site: http://www.irs.ustreas.gov/pub/irs-pdf/fw4.pdf

pdf icon I-9 IRS Form - Federal regulation requires that the University obtain an "employment eligibility form" from individuals before they be allowed to work on campus. This form is called an I-9 form. Use the following link to download an I-9 form directly from the Internal Revenue Service (IRS) site: http://www.uscis.gov/files/form/i-9.pdf 

Budget/Reimbursement Forms

pdf icon Tuition Remission Form - Updated March 2013 - Password protected. Contact Arlene Trapuzzano for access information: artrapuzzano@widener.edu. Employees requesting tuition remission for themselves or their dependents must complete a Request for Tuition Remission form each semester. Completed forms may be forwarded to Human Resources on the Chester campus. Consult Widener University administrative and support staff handbooks for additional information.

Faculty & Staff Forms

pdf icon Fitness Room Liability Waiver


General Forms, Reports & Documents 

pdf icon Employee Appreciation Award Nomination Form - Form used by faculty, staff, students and administrators to nominate an employee for an appreciation award. Updated 03/04/13

pdf icon First Assignment Sheet - Form used by faculty or a faculty secretaries ONLY to submit first assignments to Romaine Whitaker-Smoak in Delaware or Jessica Schuller in Harrisburg. Updated 03/04/13