OFA - Work-Study Off-Campus Job Certification

Off-campus work-study employers should use this form to designate U-M Ann Arbor student hires as work-study employees and initiate access to federal work-study funds.

This form should be completed by the person authorizing funds for this position. 

Student Information

Provide the first and last name of the student.
Has the student completed the Student Employment Application in Wolverine Access?
If the student has not completed the employment application, do not proceed with this form.
Has the student completed the Student Employment Application in Wolverine Access?
Work-Study Term
Work-Study Term
Academic Year
Academic Year
Review important dates for Fall, Winter, and Spring/Summer employment periods.
Provide the amount of work-study aid the student was packaged with.
Provide the job ID or job posting number.

Employer Information

If your agency was not listed above, please provide it here.
Provide the first and last name of the student's direct supervisor.
Any additional details that might help us process this form may be added here.
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Authorization & Certification

We will pay student wages in full and bill the university at least monthly for the reimbursement rate applicable to the pay period. We will pay the employer’s share of Social Security and Workmen’s Compensation and will issue W2 statements at the end of the year.
We will pay student wages in full and bill the university at least monthly for the reimbursement rate applicable to the pay period. We will pay the employer’s share of Social Security and Workmen’s Compensation and will issue W2 statements at the end of the year.
Federal agencies only: Based on payroll report forms submitted, the university will pay a percentage of a student’s wages and bill the agency for the remaining percentage, including the employer’s share of Social Security for work performed during periods of non-enrollment.
Review the most recent Off-Campus Student Employment Newsletter to determine the percentage currently in effect.
Federal agencies only: Based on payroll report forms submitted, the university will pay a percentage of a student’s wages and bill the agency for the remaining percentage, including the employer’s share of Social Security for work performed during periods of non-enrollment.
The person completing and submitting this form should be the authorizer of funds for this position.
Confirm this statement and provide your information below.
The person completing and submitting this form should be the authorizer of funds for this position.

Other Fields

Your name