Forms – Payroll

If you require assistance completing any of the listed forms, please contact the Payroll Office at payroll@hawaii.edu or (808) 956-7444.

General Forms

PAYR-1 – Uniform Allowance Form
PAYR-2 – Automobile Allowance Form
OHR Forms – forms for Personnel Officer use
Employee’s Designation of Beneficiary D-90 – Please note: all D-90 forms need to be printed as a double sided document. Forms that do not meet this requirement will be rejected by the State Comptroller’s Office (aka DAGS).
Request for Duplicate Paycheck – submit to the Payroll Office through your Personnel Officer
Request for Duplicate W-2 (CY 2018 & later) – submit to the Payroll Office through your Personnel Officer
Request for Duplicate W-2 (Pre-2018) – submit to the Payroll Office through your Personnel Officer
LWOP Calendar – Calendar for report leave without pay (After the fact employees only)

Tax Forms and Information

IRS Forms – (be sure to use the most current year’s forms; select and click on “Review Selected Files”)

Form W-4
– Federal Employee’s Withholding Allowance Certificate (writable); required of all employees

  1. Form W-5 – Earned Income Credit Advance Payment Certificate, is no longer in use: After 2010, employees can no longer get advance payments of the credit in their pay during the year as they could in 2010 and earlier years, because the law changed. However, if eligible, employees will still be able to claim the credit on their 2011 return. (IRS Notice 1015).
  2. Form W-8BEN – Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding; if qualified, a new form must be filed each calendar year to qualify for this exemption. Submit to the University Tax Specialist.
  3. Form 8233 – Exemption From Withholding on Compensation for Independent Personal Services of a Nonresident Alien Individual; if qualified, a new form must be filed each calendar year to qualify for this exemption. Submit to the University Tax Specialist.

State of Hawaii Department of Taxation Forms – (be sure to use the most current year’s forms; click on “Writable”)

  1. Form HW-4 – State of Hawaii Employee’s Withholding Exemption and Status; required of all employees
  2. Form HW-6 – Employee’s Statement of Non-Residence; may be required if employee wishes to claim exempt from Hawaii State Withholding
  3. Form HW-7 and Instructions – Exemption from Withholding, Employer’s Statement; also may be required if employee wishes to claim exempt from Hawaii State Withholding

Overtime

UH Form 10  – Overtime Authorization Form

Fringe Payment Forms

D-55 Timesheet – Hourly, Overtime, Differential Pay
D-55 Timesheet Instructions
Certificate for Compensation (Meals)

Workers Comp/Temporary Disability Benefit (TDB) Payment Forms

– Personnel Officer or Workers Compensation Coordinator to complete and submit to Payroll Office for payment of these benefits if qualified

  • TDB Form – Regular Employees, Part-Time, Temporary, Casual, Lecturers
  • Form 09 – State of Hawaii Disability Worksheet (Workers Compensation)

Salary Overpayment Forms

AP 8.877 Payroll Overpayment
Exhibit A, Letter of Notification
Exhibit B, Overpayment Worksheet
Exhibit C, Response to Salary or Wage Overpayment
Exhibit D, Agreement to Apply Vacation and/or Compensatory Time Off Credits to Repay Compensation Overpayment
Exhibit E, Sample Salary Assignment (Set dollar each month)
Exhibit F, Sample Salary Assignment (Percentage amount each month)
Exhibit G, Request for Administrative Hearing for Salary Overpayment
Exhibit H, Sample Disbursement Voucher (DV) to Director of Finance
Exhibit I, Redacted Salary Overpayment Worksheet to be Attached to DV

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