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New Employees

  • Benefits Orientation

Insurance Providers

  • Health Insurance
  • Life Insurance
  • Vision Insurance
  • Dental Insurance
  • FY14 Benefits Choice Booklet (pdf)
  • Employee Assistance Program

Benefits specific to...

  • Administrative & Professional
  • Civil Service
  • Coaches
  • Unit A Faculty
  • Unit B Faculty

Retirement

  • Retirement Information
  • State Retirement System SURS
  • Purchase Service Credit SURS
  • Voluntary Tax-Deferred Retirement

Resources

  • Employee Discounts
  • Illinois All Kids
  • Benefits/Payroll Forms
  • Benefits Staff

HR Divisions

  • Classification/Compensation
  • Employment Examinations
  • Payroll
  • Worker's Compensation
  • Training and Development

Contact Us

Old Main Room 2031
600 Lincoln Avenue
Charleston, IL 61920
Phone:217-581-5825
Fax:217-581-3614

Benefits and Payroll Forms

Benefits:

  • Address Change Form
  • Benefits Choice Booklet
  • Benefits Choice Information & Forms
  • State of Illinois Benefits Forms
  • Court Required Service Leave Request  BOT Reg II.A.9.c
  • Dental Claim Form
  • Summer Flex Schedule Form
  • FSA Reimbursement Request Form
  • Life Insurance Beneficiary Form
  • Sick Leave Bank Donation Online Instructions (Form / Policy)
  • Sick Leave Bank Usage Form
  • Irrevocable Election to Retire
  • Tax Deferred 403b Form
  • Deferred Compensation 457b Enrollment/Re-Enrollment Form
  • Deferred Compensation 457b Change Form
  • FMLA Employee Illness (Family Medical Leave)
  • FMLA Family Member Illness (Family Medical Leave)

Waivers:

  • EIU and BOT Undergraduate Application Waiver
  • Civil Service Tuition & Fee Waiver Application (Guidelines)
  • Request for Job-Related Course Form
  • Faculty and A&P Tuition Waiver
  • Graduation Fee Waiver
  • Graduate School Fee Waiver
  • Interinstitutional 50% Tuition Waiver
  • Student Flex Schedule Form

Payroll:

  • Electronic Transfer of Funds (EFT)
  • Manual Timecard Submission
  • Payroll Deduction Codes
  • Sample Positive Time Roster
  • Supplemental Time Card
  • Salary Distribution Option
  • Withholding Allowance Certificate (W4)
  • W4 Worksheets

 

 

For additional Human Resources Forms, click here.


Eastern Illinois University | Charleston, IL 61920 | 217-581-5000

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