Get 043 Rev

Filling out the 043 Rev form is an important step for employees seeking educational assistance. This guide provides clear and concise instructions on completing the form online, ensuring you understand each section thoroughly.

Follow the steps to effectively fill out the 043 Rev form online.

1. Click the ‘Get Form’ button to access the online version of the 043 Rev form. This will open the form in the editor for you to fill out.
2. Enter your employee name and employee identification number (EMPLID) in the designated fields. Ensure these details are accurate to avoid any processing issues.
3. Provide your original hire or appointment date and select your NOVA campus from the available options.
4. Indicate your division by checking the appropriate box. Choose from Faculty, P-3 Classified, or P-14 Wage.
5. For faculty, specify your teaching field. This information is essential for processing your request.
6. Indicate the type of study you will be pursuing: after hours or during hours study. If you select during hours, ensure to attach an adjusted work schedule.
7. If applicable, choose between leave of absence with pay or without pay and complete the required promissory notes for either option.
8. Fill in the college or university name and its address where you will be attending courses.
9. Provide the details of your study, including course number, course title, number of semester hours (up to six), start date, end date, and tuition costs.
10. Select the purpose of your assistance by checking one of the provided options, such as job-related or degree requirement.
11. Choose your preferred payment option: reimbursement, up-front payment (with necessary documentation), or NOVA course, ensuring you understand the IRS tax regulations that may apply.
12. Sign the form along with your supervisor and any additional required personnel, confirming eligibility for educational assistance according to NOVA’s policies.
13. After reviewing all entered information for accuracy, save your changes and choose to download, print, or share the completed form as needed.

Complete your 043 Rev form online today to access educational assistance opportunities.