Dependent fee form 2026

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  1. Click ‘Get Form’ to open the dependent fee waiver certification in the editor.
  2. Begin by filling out the employee information section. Enter your last name, first name, job title, department, and on-campus telephone number. Ensure that your employment status is accurately selected.
  3. Provide your Bronco number and email address. This information is crucial for processing your application.
  4. In the waiver transfer section, input your dependent’s name and relationship to you (spouse, domestic partner, or child). Include the child’s birthdate as well.
  5. Specify the major or program of study for your dependent and select their enrollment status (new or continuing student).
  6. Indicate the terms of enrollment by entering the year next to each term requested (Fall, Winter, Spring, Summer).
  7. Review the imputed tax section carefully before signing. Acknowledge that you understand any potential tax implications.
  8. Finally, sign and date the form in the employee certification section before submitting it to HR via email or in person.

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2020 4.8 Satisfied (38 Votes)
2019 4.3 Satisfied (179 Votes)
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