W-4 Form

W-4 Form–Employee’s Withholding Allowance Certificate See Reverse Side Instructions Please Print. This is a tax form. Do not use this form for an Address Change only (please see the Change of Address form available at http://www.uwlax.edu/hr/ forms/address.change.pdf .) will be assigned to Single with zero exemptions. On each W-4 you submit you must indicate your marital and exemption status or it U.S. Social Security Number Error! Not a valid bookmark self-reference. – Error! Not a valid bookmark self-reference. . For more information contact your Payroll office. Error! Not a valid bookmark self-reference. – Error! Not a valid bookmark self-reference. UW1389-W4 Rev. 04/06