| Name
of Employee (Print Last Name, First, Initial) |
Employee
ID Number
|
The
Taxpayer Relief Act of 1997; the Transportation Equity Act of 1998
(TEA) and subsequent changes to Section 132 (f) of the Internal
Revenue Code makes HU employees eligible for pre-tax parking payroll
deduction. |
| Please
choose from one of the following options: |
| 1.
I am a 10 month employee. _____________ |
| 2.
I am a 12 month employee. _____________ |
| Please
choose from one of the following options: |
| |
| 1.
I hereby authorize Howard University to deduct from salaries due
me, pre-tax parking fees currently established at $ _________________.
To be deducted at $ __________per biweekly pay period. |
| |
| 2.
I hereby authorize Howard University to deduct from salaries due
me, parking fees currently established at $ _____________. To be
deducted at $ ___________ per biweekly pay period. |
| |
| Payroll
deduction will automatically be enrolled pre-tax if an option is
not selected. |
| |
| I
understand that this deduction will become effective ______________________________.
I further understand that this authorization may be revoked at
any time that I cease to use the parking facilities by filing a
written revocation request and surrending the permit to the designated
official. |
| |
| I
further understand that interruption of my payroll deduction by
the surrender of my parking permit will not entitle me to refund
of money unless excess funds were deducted. It is my responsibility
to apply for any refunds due me. |
| |
I
further understand and agree that if I receive any parking violations,
I have thirty (30) calendar days after the date of issuance in
which to pay the violation(s). Unpaid violations due in excess of
thirty (30) calendar days will be subject to an additional twenty
dollar ($20) fine. If the violation(s) is not paid within thirty
(30) calendar days, all outstanding delinquent amount (including
additional fine), may be deducted from salaries due me.
|
| Signature
of Employee |
Date |
| |
| |
| Permit
# ________________ |
*For
Payroll Office Only
|
| Date
Submitted to Payroll:_______________________________ |
