Guide To Services > Use Our Forms > City Wage Tax Refund
City Wage Tax Refund
Non-residents of Philadelphia who work for Jefferson
entities located within the City of Philadelphia must pay city wage taxes.
However, if an employee is off-campus and out of city limits for work
related duties (conferences, meetings, etc.), the employee may claim
exemption from city wage taxes for those particular days. Please complete
a Request for City Wage Tax Refund and submit it to the
Payroll Office. This form may be duplicated from this manual or
reproduced on your own word processing system.
Instructions:
- Fill in the calendar year for which a refund is requested.
- Provide the employee’s name, social security number, employee I.D.
(found on the employee’s PAF or paycheck), department, work extension
and home address.
- Record the date, location and reason for each day worked outside of
city limits.
- Have the form signed and dated by the employee.
- Have the form signed and dated by the department head.
- Forward the original to the Payroll Office. Maintain a copy for your
records.
Requests may be filed quarterly. All requests for a
calendar year should be submitted by the first week of December.
Any requests for refunds after the first week of December must be filed
directly with the City of Philadelphia.
Get a Copy of the Request
for City Wage Tax Refund
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