Note: A form is not required to process the education benefit for yourself. For those who meet the eligibility requirements, the education benefit is applied automatically to the student's account.

Effective Date for Education Benefits

The education benefit is available after the staff member has completed their provisional period. If the provisional period is not completed by the date below, the benefit will begin the first term after the provisional period has ended.

Fall Term	September 1
Spring Term	January 1
Summer Term	May 1

Undergraduate Level Courses

The scholarship covers undergraduate tuition for the allowable number of credits, except for the portion per credit that is the responsibility of the staff member. This portion is stated below:

	Full-Time Staff	Part-Time Staff
Credits per Term	Up to 8 credits	Up to 8 credits x % effort*
University Contribution	97%	97%
Student Contribution	3%	3%

If the student will be studying abroad or participating in a co-op program, please notify the Benefits Department to ensure the benefit processes on these tuition charges.

*The undergraduate education benefit for part-time staff is calculated by multiplying the number of credits in which the staff member is enrolled (up to 8 credits) by the percent (%) effort of the staff member.

For example, you enroll in 4 credits of courses for the fall term and work at 50% effort. The education benefit is calculated at: 4 x 50% = 2 credits. The University contribution is 97% of 2 credits.

Graduate Level Courses

The scholarship covers graduate tuition for the allowable number of credits, except for the portion per credit that is the responsibility of the staff member. This portion is stated below.

Under IRS tax code, the value of certain educational benefits applied to graduate-level courses is considered taxable income. This requires University staff members to pay taxes on a portion of the educational benefit they receive for graduate-level courses over a certain value. For University employees, the first $5,250.00 (in a calendar year) is awarded on a pre-tax basis because the University has an IRC §127 Tuition Benefit Plan in effect. After this amount is met, the withholding regarding this benefit is at a rate of 29.65% (rate effective as of January 1, 2020). The taxation can affect the amount of the University's contribution that gets applied to the student bill.

	Full-Time Staff	Part-Time Staff
Credits per Term	Up to 6 credits	Up to 6 credits x % effort*
University Contribution	90%	90%
Student Contribution	10%	10%

If the student will be studying abroad or participating in a co-op program, please notify the Benefits Department to ensure the benefit processes on these tuition charges.

*The graduate education benefit for part-time staff is calculated by multiplying the number of credits in which the staff member is enrolled (up to 6 credits) by the percent (%) effort of the staff member.

For example, you enroll in 3 credits of courses for the fall term and work at 50% effort. The education benefit is calculated at: 3 x 50% = 1.5 credits. The University contribution is 90% of 1.5 credits.

Taxation of Graduate Level Courses

The IRS allows employers to provide $5,250.00 to their employees for graduate-level classes each calendar year before requiring that any exceeding amount be reported as taxable income. Once taxes are applied, the University reduces the upfront benefit received by 29.65% (rate effective as of January 1, 2020).

Utilizing the Education Benefit

For those who meet the eligibility requirements, the education benefit is applied automatically to the student's account. No forms are required.

Required Criteria for Spouse/Domestic Partner Education Benefits

• Staff employee must be regular, full-time.
• For spouses: must be legally married prior to the start of the term.
• For domestic partners: must have a University of Pittsburgh Affidavit of Domestic Partnership approved prior to the start of the term. Learn more about benefits for Domestic Partners.
• The spouse/domestic partner must be enrolled in a course for academic credit in either a degree or certificate program.
  • Please note: enrollment in courses to fulfill an application prerequisite is not covered by the benefit.

Effective Date of Education Benefits

The benefit is only available after the staff member has completed 12 consecutive full-time status months of employment at the University of Pittsburgh.

	Employee must be hired by:
Fall Term	September 1 of prior year
Spring Term	January 1 of prior year
Summer Term	May 1 of prior year

Undergraduate Level Courses

The education benefit covers undergraduate tuition for the allowable number of credits, except for the portion per credit that is the responsibility of the staff member. This portion is stated below.

Domestic Partner undergraduate level education benefits are viewed as taxable income by the IRS. This taxation can affect the amount of the University's contribution that gets applied to the student's bill.

	Spouse	Domestic Partner
Credits per Term	Up to 6 credits	Up to 6 credits
University Contribution	90%	90%
Student Contribution	10%	10%

Graduate Level Courses

The education benefit covers graduate tuition for the allowable number of credits, except for the portion per credit that is the responsibility of the staff member. This portion is stated below.

Graduate level education benefits are viewed as taxable income by the IRS. This taxation can affect the amount of the University's contribution that gets applied to the student's bill.

	Spouse	Domestic Partner
Credits per Term	Up to 6 credits	Up to 6 credits
University Contribution	90%	90%
Student Contribution	10%	10%

Taxation of Graduate Level Benefits at the University for Spouses/Domestic Partners

Unlike staff employees, the IRS does not allow employers to provide pre-tax graduate level educational benefits for spouses and domestic partners. Once taxes are applied, the University reduces the upfront benefit received by 29.65% (rate effective as of January 1, 2020).

Required Documentation for Education Benefits

Paperwork must be submitted once per academic year.

For Spouse

• Education Benefit Request Form for Spouse/Domestic Partner for the University of Pittsburgh (via DocuSign)
• Copy of your marriage certificate

For Domestic Partner

• Education Benefit Request Form for Spouse/Domestic Partner for the University of Pittsburgh (via DocuSign)
• Copy of your approved University of Pittsburgh Affidavit of Domestic Partnership (Must be accessed by University employee)

The education benefit will only be applied for the terms listed on the Education Benefit Request form for the University of Pittsburgh. If the student will be studying abroad or participating in a co-op program, please notify the Benefits Department to ensure the benefit processes on these tuition charges.

Submission of Required Documentation

To submit your request form and related documentation:

1. Access the Education Benefit Request Form for Spouse/Domestic Partner (via DocuSign).
   • Note: This form should be submitted only by the benefits-eligible employee at the University of Pittsburgh (not the spouse/domestic partner).
   • This form and related documentation must be submitted once per academic year.
2. Enter your name and valid Pitt email on the form.
   • Note: Forms submitted from any non-Pitt email address will be rejected.
3. After selecting "Begin Signing," you will be sent an access code to the email you entered. You must enter the access code you received to complete signing the form.
4. Enter all required information on the form, including attaching any related documentation.
   • For spouses: Attach a copy of the marriage certificate.
   • For domestic partners: Attach a copy of the University-approved Affidavit of Domestic Partnership.
5. Review your information. Once all information is entered and the form is signed, please select "Complete" from the DocuSign toolbar (at the top of the page).

Forms are processed by the Benefits Department within 1-2 business days. Please do not contact the Benefits Department about the status of your form unless it has been more than 3 (three) business days since you have submitted it for processing. After your form is processed, you will receive an email from DocuSign:

• If your form has been "Completed" and you have received an email from DocuSign saying "Completed" in the subject line: The benefit has been approved and will be processed. No further action from you is required.
• If your form has been "Declined" and you have received an email from DocuSign saying "Declined" in the subject line: You will be contacted by OHR to discuss the reason(s) as to why the form has been denied, along with details about what you may need to provide to complete your education benefit submission successfully.

Required Criteria for Dependent Child(ren) Education Benefits

• Staff employee must be regular, full-time.
• The student must be a natural, adopted, or stepchild of the staff employee.
• The student must be listed as a child dependent on the employee's Form 1040 U.S. Individual Income Tax Return for the calendar year most applicable to the academic term for which the scholarship application is being made. Please review the Qualifying Child Rules page on the IRS website for more information.
• The student has not earned a baccalaureate degree.

Effective Date for Education Benefits

The benefit is only made available after the staff member has completed their provisional period by the date listed below. If the provisional period has not ended by the date below, the benefit will begin the first term after the provisional period has ended.

Fall Term	September 1
Spring Term	January 1
Summer Term	May 1

Education Benefit at the University of Pittsburgh

Dependent children are eligible for the education benefits for 12 terms of undergraduate level coursework. There is no credit limit for a dependent per semester. The benefit for a dependent child is 100% of tuition.

Registration for less than the maximum credit load allowed in the Fall, Spring, or Summer Term uses one of the 12 allowable terms. Dependent children attending high school and registering for courses in a term at the University also uses one of the 12 allowable terms if they enroll at the University of Pittsburgh.

Dependent children of full-time, regular staff members hired prior to September 1, 1994 may be eligible to receive Education Benefits at Other Institutions.

Required Documentation for Education Benefits

Paperwork must be submitted once per academic year.

• Education Benefit Request Form for Dependent Children for the University of Pittsburgh (via DocuSign)
• Copy of the staff employee's most recent Form 1040 U.S. Individual Income Tax Return, listing the student as a dependent
  • Review an example of what page of the most recent Form 1040 must be submitted.
  • Please note: you must submit the entire requested page of the Form 1040.
  • Please do not submit the entire Form 1040.
  • Please redact all financial information and the first five digits of all social security numbers.

Note: Individuals who request the dependent child(ren) education benefit for the 2022-23 academic year with their 2020 Form 1040 and 2021 Tax Extension will only have the fall term benefit applied at the time of the request. Once the 2021 Form 1040 is received, the remaining requested terms will be processed. If the 2021 Form 1040 is not submitted by the last business day of the fall term (December, 16, 2022) the benefit will be rescinded. A new benefit request form can be submitted for the spring and/or summer terms as long as they are received by the last business day of their respective term with the 2021 Form 1040.

The education benefit will only be applied for the terms listed on the Education Benefit Request form for the University of Pittsburgh. If the student will be studying abroad or participating in a co-op program, please notify the Benefits Department to ensure the benefit processes on these tuition charges.

Submission of Required Documentation

To submit your request form and related documentation:

1. Access the Education Benefit Request Form for Dependent Children (via DocuSign).
   • Note: This form should be submitted only by the benefits-eligible employee at the University of Pittsburgh (not the dependent child).
   • This form and related documentation must be submitted once per academic year.
2. Enter your name and valid Pitt email on the form.
   • Note: Forms submitted from any non-Pitt email address will be rejected.
3. After selecting "Begin Signing," you will be sent an access code to the email you entered. You must enter the access code you received to complete signing the form.
4. Enter all required information on the form, including attaching any related documentation.
   • Copy of the staff employee's most recent Form 1040 U.S. Individual Income Tax Return, listing the student as a dependent.
5. Review your information. Once all information is entered and the form is signed, please select "Complete" from the DocuSign toolbar (at the top of the page).

Forms are processed by the Benefits Department within 1-2 business days. Please do not contact the Benefits Department about the status of your form unless it has been more than 3 (three) business days since you have submitted it for processing. After your form is processed, you will receive an email from DocuSign:

• If your form has been "Completed" and you have received an email from DocuSign saying "Completed" in the subject line: The benefit has been approved and will be processed. No further action from you is required.
• If your form has been "Declined" and you have received an email from DocuSign saying "Declined" in the subject line: You will be contacted by OHR to discuss the reason(s) as to why the form has been denied, along with details about what you may need to provide to complete your education benefit submission successfully.