Follow the steps to effectively complete the form.

1. Click 'Get Form' button to access and open the Dependent Tuition Assistance Request Form.
2. Begin by entering your staff member information. This includes your name, daytime phone number, last four digits of your Social Security number, and UPMC Employee ID number. Ensure that all information is accurate and complete.
3. Select your job status from the options provided: full-time/flex full-time, job share/reg part-time. Then, choose your pay frequency, either bi-weekly or monthly.
4. Fill in the student information section. Specify your relationship to the student (spouse, domestic partner adult, dependent child, or dependent domestic partner child) and enter the student's name, Social Security number, and birth date.
5. Complete the institution information by selecting the educational institution the student is attending, such as the University of Pittsburgh or a community college.
6. Provide details about the program or course. Indicate the enrollment status, number of credits, class start and end dates, major, semester, degree program, and expected graduation date.
7. Review the documentation checklist and confirm that you have all required documents, including the completed form, invoice/itemized bill, proof of payment, and proof of successful completion.
8. Sign and date the form at the end, certifying that all submitted information is accurate. Ensure that you submit the form and required documents within 6 months after the course completion date.
9. After filling out all sections, save your changes. You may also choose to download, print, or share the completed form as necessary.

Complete the Upmc Infonet Tuition Assistance Request Form online today to secure financial support for eligible dependent education.