Suspense/Employer Charges to Work-Study Transfer

Academic Year 2016-2017

DO NOT USE STUDENT SOCIAL SECURITY # FOR ID

Completion of this form does not guarantee that a transfer will occur. You will be notified in writing whether or not a transfer is completed.

Fall 2016

Pay Period End Date: (complete both WSR & WSC amounts for all dates that apply)

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*Charge to:

Spring 2017

Pay Period End Date: (complete both WSR & WSC amounts for all dates that apply)

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*Charge to:

*You must submit the Suspense/Employer Charges to Work-study Transfer request to our office by June 2017 to charge in the 2016-2017 Fiscal Year.

*You find WSR under 407700 which is 30% charge. WSC is found under 407600 which is 100% charge.