Dependent Tuition Remission Application

Dependent Tuition Remission Application
Prior to applying for the Dependent Tuition Remission Program:

1. Dependents must apply to and be accepted by the University; and
2. Complete at least one semester and be in good academic standing status.

The USF employee and their Dependent must meet the requirements listed on this application, please review all eligibility requirements here.

The Dependent Tuition Remission Program is an academic year-long program starting every Fall Semester. For Tuition Remission purposes, there are three “semesters”: Fall, Spring, and Summer Term (all Summer Sessions are considered one semester).

If accepted to the Dependent Tuition Remission Program, dependents will need to complete the Dependent Tuition Remission Program Semester Course Request Form for each semester

Application Deadline Date:
- Applications will be accepted no later than May 5th, 2025 by 5pm.

Employee Eligibility
- Appointed to a full-time (i.e., 40 hours/week) regular established position for at least one (1) full year (Temporary/OPS employees are not eligible)
- Expected to be employed full-time past the end of the term for which enrolled; individuals who leave USF employment before the last day of the term may be required to pay the tuition and fees in full
- Not having a substandard performance rating for their most recent evaluation (cannot be reflected as Needs Improvement or Unsatisfactory)
- Not on an active Performance Improvement Plan
- Not having received any written discipline within the past twelve (12) months
- Not be participating in the Employee Tuition Program (ETP)
- Only one eligible family member may utilize Tuition Remission benefit per academic year
Employee Information
First Name:*
Last Name:*
Employee ID #: *
Phone Number*
Employee Email:*
example@example.com
College/ Division/ Department:*

Is the Student a Dependent Child, Spouse or Domestic Partner?
Relationship Type*

Dependent Child Eligibility

Eligible Dependent Child is defined as: The natural, adopted, step, foster, or any other child for which the employee has legal guardianship.
- He or she is eligible through the end of the calendar year in which they turn 26 years of age
- Must be a current active undergraduate student at USF
- Completed at least one semester
- In good academic standing
- Graduate courses are not covered
Spouse/Domestic Partner Eligibility

Eligible Spouse/Domestic Partner is defined as: Legally married and/or domestic partner to the employee by the application deadline.
- Must be a current active student at USF
- Completed at least one semester
- In good academic standing
- Graduate courses are not covered
Dependent Child Information:
Spouse/Domestic Partner Information:
First Name:*
Last Name:*
Student U #:*
Email Address:*
example@example.com
Date of Birth *

MonthDayYear
Program of Study:*
What is the Applicants' First Semester as a USF Student:*
If you are a reoccurring applicant, please select: None of the above
First semester Summer 2025 applicants are eligible to apply for the 2025-2026 Dependent Tuition Program and may be accepted as a participant under the condition that the student is in good- academic standing upon completion of the summer semester.
Applicants whose first semester at the University is the Fall semester of the academic year (2025-2026) for which the application is open may complete the application and may be placed on a waitlist to join the program in the Spring semester. Should the eligible pool of applicants not reach the maximum budget capacity, eligible deferred applicants on the waitlist will be accepted into the Dependent Tuition Remission Program for the Spring and Summer semesters of the current academic year.

Participant in the Domestic Partner Health Insurance Stipend Program*

YesNo
Please provide attach at least three of the following documentation with your completed form:

• Domestic Partner card
• Joint ownership of real property
• Mutual designation as attorney in a durable power of attorney document
• Joint ownership of personal property or assets, such as automobiles or stock
• Designation of health care surrogate
• Joint bank account
• Driver’s license or tax documents showing the same address
• Joint consumer or bank loan
• Joint credit cards
• Joint lease
• Designation of beneficiary for life insurance, retirement plan, and/or last will and testament
• Legal documentation demonstrating joint adoption or legal guardianship of any dependents, whether children or adults
File Upload*

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Dependent Tuition Remission Program Important Information

Please read carefully.
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.
Tax Implications for Employer Provided Assistance
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.
EMPLOYEE CERTIFICATION

My signature affirms that all information provided on this form is complete and true to the best of my knowledge, including the assignee named above is my spouse, domestic partner or dependent child.
Employee Signature:*

Clear
DEPENDENT/SPOUSE/DOMESTIC PARTNER CERTIFICATION

I certify that I am the dependent child, Spouse or Domestic Partner of the above Employee, that I am a duly admitted student and I approve the release of pertinent information that may be needed for the administration of this program to USF in accordance with FERPA regulations.
Dependent/Spouse/Domestic Partner Signature*

Clear
Should be Empty:

Dependent Tuition Remission Application

Employee Eligibility

Employee Information

Is the Student a Dependent Child, Spouse or Domestic Partner?

Dependent Child Eligibility

Spouse/Domestic Partner Eligibility

Dependent Child Information:

Spouse/Domestic Partner Information:

Dependent Tuition Remission Program Important Information

Tax Implications for Employer Provided Assistance

EMPLOYEE CERTIFICATION

DEPENDENT/SPOUSE/DOMESTIC PARTNER CERTIFICATION