University of Wisconsin Service Center

Temporary Payroll Identification Number Request

Instructions

Requestor
Name
 Telephone
Email Address
Send UW1046 to UDDS Number
Data for Person for Whom Temporary Payroll ID Is Requested
Last Name
 First Name
Middle Initial
Local Address
Street
City
 State
 Zip Code
Date of Birth (Mo/Day/Yr)
Male
Female 		"0" Dollar Appointment
On Payroll
Appointment Title
Is employee physically present in the US? Yes      No
Will employee be physically present in the US while on the UW Payroll? Yes      No

File last updated: March 19, 2007
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