Get Self Service Exception Form.doc - Indiana

This guide provides detailed instructions on filling out the Self Service Exception Form.doc for Indiana employees seeking exemption from online payroll services. Follow these steps carefully to ensure your request is processed smoothly.

Follow the steps to fill out the form accurately and submit your request.

1. Press the ‘Get Form’ button to access the document and open it in your preferred editor.
2. Begin filling out the form by typing or printing your name in the section labeled 'Name of Fiscal Officer'. Provide the complete name without abbreviations.
3. Next, enter the name of your organization in the designated field labeled 'Organization'. Ensure this is accurate as it will be associated with your request.
4. In the 'Responsibility Center' section, provide the appropriate designation that aligns with your organizational structure.
5. Fill in the 'Campus' field with the specific campus you are associated with. This could be Bloomington or another Indiana campus.
6. In the section asking for exemption from online payroll services, enter the name of the employee requesting the exemption.
7. Provide the Employee ID in the format specified (i.e., 0001111111) to uniquely identify the employee.
8. Check the appropriate box indicating the reason for exemption. Remember, there are only two valid reasons: if the employee has a disability that prevents the use of a computer or if the employee’s job does not allow access to a computer during work hours.
9. The fiscal officer must sign the form at the designated signature line to validate the request. Note that no alternate or delegate signatures will be accepted.
10. Include the campus phone number of the fiscal officer in the provided section.
11. Finally, write the date of completion before mailing the completed form to FMS Payroll, Poplars 527, Bloomington campus.

Take action now and complete your exemption request online to ensure timely processing.