Employee/Dependent Tuition Remission Course Request Form

Subject to the policies of the University of South Florida, I request permission for my dependent, spouse or domestic partner to participate in the Tuition Remission Program for the above-described course(s), up to six credit hours. I understand by approving my dependent, spouse or domestic partner’s use of this benefit that I will not be eligible to utilize this benefit for one academic year. I understand that only one eligible dependent, spouse or domestic partner may utilize the Dependent Tuition Remission benefit per academic year.

Once accepted, dependents will submit the requested courses for each semester to Central Human Resources. Refer to the Central Human Resources Web site for eligibility requirements, the semester eligible course list, and submit the Dependent Tuition Remission Semester Course Request Form no later than the 4th day of the Semester by 5pm.

I understand that the Tuition Remission Program ONLY covers in-state tuition for eligible undergraduate courses, excluding all other fees associated with the course, and may impact Student Financial Aid for eligible dependent children, spouses and domestic partners. It is my responsibility to guarantee all tuition not covered by the Tuition Remission Program and fees are paid by the payment deadline for the term.

I understand that I, the USF employee, must remain employed in an eligible position through the end of the semester for my dependent, spouse or domestic partner to be covered by the Tuition Remission Program or I will be responsible for any tuition assessed.

Waiver of Undergraduate Tuition – The value of undergraduate tuition waived by USF on behalf of its employees is not taxable income pursuant to Internal Revenue Code Section 117.

Domestic Partner Tax – I acknowledge that a tuition waiver is taxable when given to a domestic partner and the applicable taxes associated with the value of the tuition waiver will be deducted from my paycheck, accordingly.

Subject to the policies of the University of South Florida, I request permission to participate in the Employee Tuition Program for the above described course(s), up to six credit hours, without payment of tuition.

I understand that I must submit this form to no later than the 4th day of the Semester by 5pm or I will not be able to qualify to use the employee tuition waiver for the term. 

I understand that enrollment in this course affords me no student privileges unless I otherwise meet the criteria for such privileges.

I understand that the USF Employee Tuition Program may or may not cover all of my tuition and fees and it is my responsibility to guarantee all tuition and fees are paid by the payment deadline for the term. I do not have a dependent child, spouse or domestic partner participating in the Dependent Tuition Remission Program. I understand that I must remain employed in an eligible position through the end of the semester covered by the employee tuition waiver or I may be responsible for any tuition and fees assessed.

Waiver of Undergraduate Tuition – The value of undergraduate tuition waived by USF on behalf of its employees is not taxable income pursuant to Internal Revenue Code Section 117.

Waiver of Graduate Tuition – USF has established a tuition benefit plan pursuant to Internal Revenue Code Section 127 that permits the exclusion of up to $5,250 of graduate tuition and fees from an employee’s taxable income each calendar year. If an USF employee’s tuition and fees are above this amount (including the value of out-of-state tuition) the difference will be included on the employee’s W-2 as wages at the end of the calendar year and tax withheld during the calendar year.

I acknowledge that any graduate-level tuition and fees above $5,250 is taxable under Internal Revenue Code Section 127. I understand that the value of out-of-state tuition is included in calculating taxable benefits exceeding IRC Section 127 limits and it is my responsibility to update residency status with the University Registrar’s Office.