Human Resources

Employment Forms                                                  

Temporary Employment Forms

UM-Dearborn Student temporary packet

UM-Dearborn Student temporary packet + I-9, tax & direct deposit form

Temporary Employment packet

Temporary Employment packet + I-9, tax & direct deposit form

Also include with the above packets:

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Additional Employment Forms

Authorization for Criminal Records Check

Employment Eligibility Verification I9

Federal W-4 also available online through Employee Business

Michigan W-4 also available online through Employee Business

Direct Deposit Authorization Form also available online through Employee Business

Budget Clearance Form

Position Description Form

Layoff and Termination Request

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Educational Support Forms                                                      

Tuition Support Request Form - see SPG 201.69 for additional information

click here for more information regarding applications for OQA who are not covered by University benefits

Dearborn Employee Dependent Tuition Scholarship Form - click here for additional information about the scholarship requirements

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Information Changes                                                     

Payroll

Federal Tax Withholding Form W-4 also available online through Employee Business

Michigan Tax Withholding Form W-4 also available online through Employee Business

Michigan City Tax Form

Direct Deposit Authorization Form also available online through Employee Business

US Mail Authorization Form

Request a copy of your W-2 available online through Employee Business

Please visit http://www.payroll.umich.edu/ for a comprehensive list of payroll forms.

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Address / Personal Data Change

Name and Home Address also available online through Employee Business       

Work Address also available online through Employee Business

Degree Completion

Social Security and Citizenship Information

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 The University of Michigan
Dearborn Human Resources

1020 Administration Building
4901 Evergreen Road
Dearborn, MI 48128

Phone:  313-593-5190
Fax:  313-593-3568