WEA Paycheck Protection Plan

WEA Paycheck Protection Plan Application

In Order to Complete this Application, You Need (1) A Private Connection to the Internet, (2) Your Social Security Number, & (3) A VOIDED Personal Check

Maximum Daily Benefits

The maximum daily benefit is based on your salary. Please take a moment to locate your Unit, Lane (Job Position/Education) and Step (Years of Experience). Then, enter the number into the box below.
Please enter your daily maximum benefit as indicated by the chart above.
Do not include the "$".

Your Name*

First NameLast Name
Personal Email Address*
example@example.com
Mailing Address

Line 1: Number, Street, Apt/Suite#

Street Address Line 2

Line 2: City, State and ZIP codeState / Province

Postal / Zip Code

Select the Reason for Your Application*

I'm a Unit C Member requesting financial support for December, February, & April VacationsI'm expanding my family and requesting financial support for unpaid time during my absence.
For how many days would you need support?*
Initial to Indicate Good Standing*
By initialing above, the applicant certifies that they are in good standing with the WEA.
Initial to Certify PPP Eligibility*
By initialing above, the applicant certifies that they have been a dues-paying member since the beginning of the academic year, or in the case of a new hire, the member certifies they have joined within 30 calendar days of WEA new-member outreach.
Initial to Confirm Understanding of Application Deadline*
By initialing above, the applicant understands that completion of this application by the deadline established by the Committee is required to access the maximum loan benefit; members who learn of an impending parental leave after this deadline may apply upon learning of the need for leave, and the Committee may approve the benefit if funds are available at that time.
Initial to Confirm Understanding of Maximum Benefit Adjustment*
By initialing above, the applicant understands that if the number of all applicants exceeds the allocated funds, the benefit will be adjusted as a percentage of the maximum loan benefit.
Initial to Confirm Repayment Terms & Future Eligibility*
By initialing above, the applicant certifies that if they have received assistance the prior year, they may only be eligible to receive additional PPP loans if all prior loans have been repaid in full by the deadline established by the Committee.
Initial to Confirm Maximum Loan Benefit & Disbursement Terms*
By initialing below, the applicant certifies that their maximum loan benefit will be borrowed at an interest rate of 0%, and understands this benefit will be paid in three equal disbursements: January 1st, February 15th, & April 15th of the fiscal year in which this agreement is signed.
Initial to Confirm Repayment Terms and Discharge Tax Liability*
By initialing below, the applicant certifies and understands that repayment of PPP loans will be due within 30 days of the issuance of ESP retention bonus checks. Un-repaid loans will be discharged as “gifts” by the Committee on September 1 immediately following the current fiscal year. Applicants who have not repaid their loans will be issued a Form 1099, will be responsible for all applicable taxes on that income, and will not be eligible for future PPP support.

Social Security Number

This is required to file the W9 with the IRS. We will only file this IF the loan is not paid in full by September 1.

PPP Promissory Note & W-9 Certification
PPP Promissory Note:

I hereby agree to all of the above terms and conditions of the WEA Paycheck Protection Program. I fully understand that, if I do not repay the loan to the WEA within 30 days of the WPS retention bonus payment, these contributions will be converted to taxable income.

IRS Form W-9 Certification

To see full terms and conditons of IRS W-9, click here. Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions.

You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

NOTE: Most individuals who work for WPS do not have or require a FACTA code. If any of the above conditions do not apply, email WEA for support.
Signature*

Clear
Maximum PPP Benefit
W9 Date

MonthDayYear
Date

Upload an Image of a VOIDED Check for Direct Deposit. Your name MUST be on this check.*
Should be Empty:

WEA Paycheck Protection Plan Application

Maximum Daily Benefits

Social Security Number

PPP Promissory Note & W-9 Certification