Employer-Provided Vehicle Certification Form - DFA Cornell 2025

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  1. Click ‘Get Form’ to open the Employer-Provided Vehicle Certification Form in the editor.
  2. Begin with Part I: Vehicle Usage. Indicate whether you used the employer-provided vehicle for personal travel by selecting 'Yes' or 'No'. If 'No', simply sign and return the form.
  3. If you answered 'Yes', proceed to Part II. Choose your valuation method: either Method 1 (Cents-Per-Mile) or Method 2 (Daily Commuting Value). Fill in your personal mileage or number of one-way commutes as applicable.
  4. In Part III, provide your Employee Information including Name, Employee ID Number, Unit/Department Name, Phone, Email, and Date. Don’t forget to sign the form.
  5. Finally, review all entries for accuracy before submitting the completed form to University Payroll at the specified address.

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Employment Certification is the process by which employers provide detailed appointment and payroll data to be used during the review of Service Credit Purchase requests and membership reviews for potential arrears. The process to submit an employment certification is completed electronically through myCalPERS.
Annual Lease Value Method To use the lease value rule, multiply the annual lease value of the car (via the IRS Annual Lease Value table) by the percentage of personal mileage driven. This will give you the Fair Market Value (FMV) of the employees personal use of a company-provided vehicle.
Under IRS general rules, all use of a company car is considered personal use unless the employee documents the business use of the car. Personal use of a company vehicle (PUCC) generally results in taxable wages for the employee.
On your 2020 Form W-2, the amount of the value will be included in box 1, Wages, tips, other compensation; and box 14. To claim your expenses, complete Form 2106, Part II, Sections A and C. Enter your actual expenses on line 23 of Section C and include the entire value of the employer-provided car on line 25.
Report the value of the personal use of the company vehicle on the employees Form W-2. Include the amounts in Boxes 1, 3, and 5. Also, report the amounts you withheld in Boxes 2, 4, and 6.

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If an employee uses their personal vehicle for business, The employer typically reimburses the employee for the business mileage incurred at the standard mileage rate. The amount received for documented business miles is not taxable to the employee and vehicle expenses are deductible by the employer.

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