Shawnee State University

Payroll Office Staff

Heather Cate, B.S. Director, Budget and Payroll 016 Administration (740) 351-3632 hcate@shawnee.edu

Corey Culbertson, B.B.A. Payroll Supervisor 016 Administration (740) 351-3324 cculbertson@shawnee.edu

Angel Tackett, A.A.S. Payroll Representative 016 Administration (740) 351-3104 atackett@shawnee.edu

---

Important Information

Payroll Schedules

• Faculty & Staff Payroll Schedule (PDF)
• Student Payroll Schedule (PDF)

W-2 Information

• W-2 Website
• Accessing Your W-2 Instructions (PDF)

---

Payroll Forms

Staff Timesheets

• Support Staff (XLSX)
• Facilities (XLSX)
• Security (XLSX)

Student Timesheets

• Student Employment Time Sheets (XLSX) 
• College Work Study Time Report (XLSX)
• Federal Work Study Information/Financial Aid

Direct Deposit / Payroll Card

• Instructions to get Pay Statement/Stub (PDF)
• Direct Deposit Authorization Form (PDF)

---

Withholding Tax Forms

Federal

• Federal W-4 Form (PDF)

Ohio

• Ohio Tax Form (PDF)
• Search School District Tax by Address

Kentucky

• KY Tax Form (PDF)
• OH Statement of Reciprocity Form (PDF) -- include with KY Tax Form

West Virginia

• WV Tax Form (PDF)
• OH Statement of Reciprocity Form (PDF) -- include with WV Tax Form

Non-Resident

• Non-Resident Alien Tax form (PDF) (IRS 8233 Exemption)
• Non-Resident 8233 Exemption Instructions (PDF)

---

Retirement Forms

OPERS

• OPERS New Hire Enroll form (PDF)
• OPERS Re-employed Retiree Notification (PDF)
  
  • OPERS Re-employed Retiree Annuity Beneficiary form (PDF)
• OPERS Request for Optional Exemption as a Student (PDF)
  • OPERS Request for Optional Exemption Instructions (PDF)
• SSA1945 Form (PDF) -- include with OPERS Form
• Retirement Plan Election (PDF) (ARP or OPERS)
• OPERS Address/Bank Change form (PDF)
• OPERS Refund Application (PDF) (for Traditional or Combined Plans)

STRS

• STRS New Hire Notification (PDF)
• STRS Re-employed Retiree Notification (PDF)
• STRS Plans Comparison (PDF) (Defined Benefit, Defined Contribution, Combined Plan)
• SSA1945 Form (PDF) -- include with STRSForm
• Retirement Plan Election (PDF) (ARP or STRS)
• ARP-STRS Comparison (PDF)

Alternative Retirement Plan (ARP)

• Retirement Plan Election (PDF) form

Supplemental Retirement Plans (SRA-403b, Deferred Comp-457b)

• Current Vendors (PDF)
• Salary Reduction Authorization (PDF) form
• Ohio Deferred Compensation Enroll (PDF) form (OPEDCP)

---

New Employee Paperwork

Tax Information & Paperwork

• New Hire Guide & Paperwork Instructions (PDF) (Read carefully)
• Employee Data Form (DOC) (Complete)

Federal Tax

• Federal W-4 (PDF) (Complete and Sign)

Ohio

• Ohio Tax Form (PDF)
• Search School District Tax by Address

Kentucky

• KY Tax Form (PDF)
• Statement of Reciprocity Form (PDF) -- include with KY WH Form

West Virginia

• WV Tax Form (PDF)
• Statement of Reciprocity Form (PDF) -- include with WV WH Form

Non-Resident

• Non-Resident Alien Tax Exemption form (PDF) (IRS 8233 Exemption)
• Non-Resident 8233 Exemption Instructions (PDF)

Retirement Information & Paperwork

• OPERS New Hire Enroll form (PDF)
• STRS New Faculty Notification (PDF)
• Student Optional Exempt Request (PDF)

Paycheck Information & Paperwork

• Instructions to get Pay Statement/Stub (PDF)
• Direct Deposit Authorization (PDF)

Required Notices & Proof of Eligibility to Work in U.S.

• Fraud Hotline Notice - Ohio HB 66 (PDF) (Read and Sign)
• Social Security - SSA1945 Form (Read, Complete, and Sign) (PDF)
• I-9 Employment Eligibility (PDF) (Read, Complete Pg. 7, Provide ID for Pg. 9)