Student Employment

Federal W-4 Form

INSTRUCTIONS - FILLING OUT A Federal W-4 Form

Line 1 NAME AND ADDRESS

Use permanent mailing address.

Line 2 SOCIAL SECURITY NUMBER

The employee must provide his/her Social Security number. The University is required by law to pay its employees under the exact name and number that appears on their Social Security card.

Line 3 MARITAL STATUS:

Check the appropriate box.

Line 5 NUMBER OF ALLOWANCES: Usually "1" or "0".

The number of allowances (personal and dependency exemptions) the employee wishes to claim for Federal should be entered here.

Line 7 EXEMPT FROM WITHHOLDING:

You cannot claim exemption from withholding if:

1. your income exceeds $750 and includes more than $250 of unearned income and

2. another person can claim you as a dependent on their tax return.

SIGN AND DATE FORM.

Line 8 EMPLOYER NAME AND ADDRESS:

Grand Valley State University, 1 Campus Drive, Allendale, MI 49401

Line 9 Payroll Office will complete.

Line 10 Payroll Office will complete.

Download Federal W-4 Form (required)