2015  Professional Privilege Tax Benefit Application


* All fields are required

Indicate your eligibility by reviewing and checking these items.  (Checked = Yes, Unchecked = No)


 

 

 

 

Provide a brief explanation of how your license is related to your duties as a UT employee:


Last 4-digits of SSN 
UT Personnel Number 
Full Legal Name 
Telephone (including area code) 
Campus/Unit 
Department 
Job Title 
Profession 
License Number 
Email Address 
Please re-enter Email Address 

 


PLEASE REVIEW ALL FIELDS FOR ACCURACY BEFORE SUBMITTING DATA


Deadline for applications is Friday, May 08, 2015 at 11:59:00 PM
 




System Budget and Finance · 711 Andy Holt Tower · The University of Tennessee
Knoxville TN 37996-0174 · 865.974.2243 · fax: 865.974.1324