APPLICATION FOR TUITION WAIVER FOR COURSES TAKEN AT …
, please complete the University of Rochester Graduate Tuition Waiver/ Reimbursement Tax Exemption Form on page 5. For taxable tuition assistance benefits, applicable Federal and State income taxes and FICA taxes (approximately 39.27% of the taxable tuition amount) will be deducted from the employee’s paycheck when the waiver is approved. ................
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