Follow the steps to complete the certification form online.

1. Click ‘Get Form’ button to obtain the certification form and access it for filling out.
2. In Part I, indicate whether you used the employer-provided vehicle for personal travel between November 1, 2015, and October 31, 2016. Select 'Yes' or 'No.' If 'No,' sign the certificate and submit it as instructed.
3. If you answered 'Yes,' proceed to Parts IIa and IIb to choose your valuation method for personal usage. In Part IIa, if you choose the cents-per-mile computation, enter your personal mileage for the specified periods and let the form calculate the total automatically.
4. If you select Method 2, the daily commuting value computation, enter the number of one-way commutes and the charge per commute. The form will then compute the total amount to be included in your gross income.
5. In Part III, provide your personal details including your name, employee ID number, unit/department name, phone number, email address, and the date.
6. Sign the form to certify that the information provided is accurate and complete.
7. Submit the completed form to the University Payroll office by following the return address instructions provided.
8. Finally, you can choose to save, download, print, or share the form as needed.

Complete your Cornell University Employer-Provided Vehicle Certification Form online today.