Get California State Polytechnic University Pomona Dependent Fee Waiver Certification 2019

Filling out the California State Polytechnic University Pomona Dependent Fee Waiver Certification online is a straightforward process designed to assist eligible employees in transferring their fee waiver benefits to their dependents. This guide provides clear, step-by-step instructions to ensure accurate completion of the form.

Follow the steps to fill out the Dependent Fee Waiver Certification form accurately.

1. Click the ‘Get Form’ button to access the certification form and open it for editing.
2. In the 'Employee Information' section, fill in your last name, first name, job title, department, campus telephone number, employment status (choose between probationary/permanent or temporary), Bronco number, bargaining unit, and email address.
3. Proceed to the 'Waiver Transfer' section. Enter the campus student identification number of the dependent, followed by the dependent’s name and relationship to you (choose from spouse, domestic partner, or dependent child).
4. For the dependent child section, fill in the child’s birthdate and ensure that you adhere to the provided definitions of a dependent child. Note the age limits and conditions stated in the form.
5. Next, indicate the major or program your dependent is enrolled in and specify whether they are an undergraduate or graduate/credential student.
6. Indicate the terms of enrollment by filling in the requested year next to the fall, winter, spring, and summer terms, as applicable. Remember that for dependents attending Cal Poly Pomona, a single waiver form may suffice for an entire year.
7. Select the CSU campus where the fee waiver will be applied and specify the enrollment status of your dependent, noting whether they are a new or continuing student. If the dependent is a new student, indicate if you are seeking reimbursement for the $55 application fee.
8. Be aware of the imputed tax implications by reading the statement provided about potential tax consequences related to waivers used for graduate-level coursework.
9. In the 'Employee Certification & Signature' section, certify your wish to transfer the fee waiver eligibility by signing and dating the form.
10. Finally, submit the completed form either in person at the HR Operations Customer Service Center or via email to the provided address.

Complete the California State Polytechnic University Pomona Dependent Fee Waiver Certification online today to ensure your dependent benefits from valuable tuition support.