Dependent Care Account Employee Information Booklet –
This document provides a summary of the program as well as answers to questions regarding
employee enrollment, eligibility, and reimbursements. Frequently asked questions are also
included within the document to address more specific questions that employees considering
enrollment in the program may have.
Qualified Transportation Expense
Care Account Open Enrollment Form
Dependent Care Account
This form is used to submit claims for reimbursements from your Dependent Care
account. This form can be filled out online and printed. It must
then be signed and submitted to the Payroll Unit for processing.
Dependent Care Account Deduction
This form is used to report changes to your Dependent Care Account deduction as a
result of a qualified change of status event. This form can be filled out
online and printed. It must then be signed and submitted to the Payroll Unit for processing.
Account Initial Enrollment Form –
This form is used to enroll in the Dependent Care Account Program. This form can be
filled out online and printed. It must then be signed and submitted to the Payroll
Unit for processing.
This form is used to submit claims for reimbursements from your Qualified Transportation
Expense account. This form can be filled out online and printed. It must then
be signed and submitted to the Payroll Unit for processing.
Address Change Form (Residency Certification Form) –
This form is to be used by employers and taxpayers to report essential information
for the collection and distribution of Local Earned Income Taxes to the local EIT collector.
This form must be used by employers when a new employee is hired or when a current employee notifies employer of
a name or address change. Use the Address Search Application at dced.pa.gov/Act32 to determine PSD codes, EIT rates,
and tax collector contact information.
IRS W-4 Form –
Use this form to make changes to your Federal Withholding amounts. The form can
be filled out online and printed. It must then be signed and submitted to the
Payroll Unit for processing.
Service Tax Exemption Form –
Act 7 of 2007 provides for exemption from the Local Service Tax for employees whose
total earned income for all sources within the municipality where they are
employed is less than $12,000. If you believe you qualify for exemption,
you must complete the Application for Exemption and submit it to the AOPC
Payroll Office and to the municipality where you are employed.
Certification of Assignments Working IN Philadelphia
All employees that have an office location outside Philadelphia, traveling into
the city of Philadelphia for work, are subject to the Philadelphia non-resident
tax rate on wages earned while working in the city. Anyone working in Philadelphia
for more than 15 days a year is required to report all time worked in Philadelphia
to Payroll within two weeks of each work assignment on this form. These wages will
be taxed at the Philadelphia non-resident rate.
Certification of Assignments Working Outside of Philadelphia
Non-resident Philadelphia office employees are required to pay the Philadelphia wage
tax at the non-resident rate on all wages earned, unless on Judiciary assignment outside
the city. This includes wages earned working from home, lump sum merits, vacation, holiday
and sick days, as well as leave payouts upon termination. Working from home at the employee's
convenience is not a Judiciary work assignment outside the city and cannot be considered
working outside of the city. Philadelphia non-resident employees will have wages withheld
at the Philadelphia non-resident rate for all hours in a pay period unless hours worked
outside the city of Philadelphia are reported to Payroll on this form within two weeks
of the work assignment.
Deferred Compensation –
To change/stop/start existing payroll deductions for deferred compensation, employees currently enrolled in the deferred
compensation program should log on to their account on the State Employees’ Retirement System (SERS)
within the Deferred Compensation Plan Account Sign In.
If you are actively considering retirement and want to explore deferring from your leave payout,
please call SERS at 1-800-633-5461 as soon as possible.
There are a number of HR, payroll, and retirement system deadlines involved, which can cause this to be a lengthy process.
||P.O. Box 67013
Harrisburg, PA 17106-7013
||P.O. Box 67012
Harrisburg, PA 17106-7012
||P.O. Box 67010
Harrisburg, PA 17106-7010
||1 Credit Union Place
Harrisburg, PA 17110
||717-234-8484 (Harrisburg Area) or 1-800-237-7328
When calling PSECU, you may be asked if you work for the State by which they mean the Executive Branch.
So that your call is handled correctly, you should indicate that you work for the Judiciary.
|Guaranteed Savings Plan
||PA 529 College Savings Program
Guaranteed Savings Plan
P.O. Box 55463
Boston, MA 02205-8114
Direct Investment Plan
||PA 529 College Savings Program
P.O. Box 55378
Boston, MA 02205-5378