Please select your health insurance plan based on your desired coverage.
Please select your vision insurance plan based on your desired coverage.
Please select your dental insurance plan based on your desired coverage.
Please select your Voluntary Accidental Death & Dismemberment plan based on your desired coverage level.
Please enter your estimated life insurance contribution for each month.
Please enter your 403(b) percentage or dollar amount committed per pay check.
Please enter your 457(b) percentage or dollar amount committed per pay check.
Please enter your Roth 403(b) percentage or dollar amount committed per pay check.
Please enter your Roth 457(b) percentage or dollar amount committed per pay check.
Please enter your Healthcare Flexible Spending Account contributions for the pay period.
Please enter your Dependent Care Flexible Spending Account contributions for the pay period.
Please enter your Healthcare Savings Account contributions for the pay period.
Please select the short term disabilty option.
Please select your age range.
Please select your applicable parking permit.
Please enter your desired United Way contribution per pay period.
Please enter your desired University Advancement Development Fund contribution per pay period.
Please enter your desired Action Card contribution per pay period.
Please select your desired University of Alabama Recreation Center plan.
Please select your desired University of Alabama Aquatic Center plan.
Please select your desired University Club plan.
Please select your desired Norton LifeLock plan.
Please enter your desired Alabama Credit Union contribution per pay period.
Please enter your total desired miscellaneous contributions per pay period.
Please visit the IRS Federal Withholding spreadsheet via the link below to calculate your federal withholdings (Enter the amount calculated above) . Please input that number below after completion.
Please select the number of allowances you wish to claim for state tax filing purposes. This will be the number you wrote down on your A-4 form.
Please enter the total amount of additional state withholdings for the year.