Forms

Benefits Transfer from Other State Agencies

Domestic Partner Health Insurance Premium Reimbursement

MetLife Beneficiary Designation

MetLife Evidence of Insurability Form

Prudential - Evidence of Insurability

Prudential - Long Term Disability Cancellation Form

Prudential - Long Term Disability Enrollment Form

Statement of Domestic Partnership

Termination of Domestic Partnership

Request to Take a Course During Work Hours

Tuition/Fees Waiver – Retired Faculty and Staff

Tuition Waiver – Child of ISU Employee – Attending ISU

Tuition Waiver – Child of ISU Employee – Attending an Illinois Public University other than ISU

Tuition Waiver – Child of ISU Employee – Attending SIUE

Tuition Waiver – Child of Other Public University Employee – Attending ISU

Tuition Waiver – ISU Employee

Tuition Waiver – Non-ISU Employee

403b Plan Payroll Deduction Form

CMS Deferred Comp 457 Plan by Empower

SURS Deferrep Comp 457 Plan by Voya

Statement Concerning Your Employment in a Job Not Covered by Social Security

COVID-19 Paid Administrative Leave Application

COVID-19 Related LOA Application

Faculty Notice of Absence from Scheduled Duties

Family Medical Leave Application - Employee

Family Medical Leave Application - Family

Graduate Assistant Unpaid Leave Application

Leave of Absence Request – Civil Service

Leave of Absence Request-Faculty and A/P

MCAP COBRA Election Form

Parental Leave (birth, adoption or foster care)

Sick Leave Bank Request for Sick Leave Credit

Sick Leave Transfer Form

Vacation Accrual Rate Form - Prior State of Illinois Service Time

12 Month Payment Plan Payroll Authorization

Annual Report of Secondary/Outside Employment

Campus Business Address Update Form

Cell Phone Stipend Request Form

Grievance Form - Non-Union

Non-Tenure Track Faculty Notice of Desired FTE

Non-Tenure Track Faculty Self-Assessment Form

PageUp Security Access Request Form

Personal Data Sheet

SURS Sheet for Other SURS Employment

Voluntary Self-Identification Form – New Hire

Voluntary Self-Identification Form – Disability

Biometric Impressions Authorization Form

Fingerprint Authorization Form

Fingerprint Memo and Directions

Flexible Work Schedule Request

Hiring Request Form (Kuali Workflow)

Graduate Assistant Course Load Waiver Request

Graduate Assistant Additional Pay: Pre-Approval Request Form

NTT Discretionary Increase Process

• Internal Equity Sample Table
• Internal Equity Increase Processing Steps
• PERS95 NTT Rate Increase Request

Joint Faculty Appointment Agreement

Out-of-Cycle Increase Request (faculty/staff)

Personnel Action Form

Recommendation for Academic Appointment to a Tenure Track Position

Remote Work Agreement

Request for Advertising

Request to Hire SURS Annuitant

Resignation-Retirement Form

Statement of Security & Confidentiality of Data

Student Employment Web Form

Summer Pay Request for Faculty

Tenure Year Designation

Volunteer Services Instructional Form

Volunteer Services Non-Instructional Form

Administrative/Professional Offer Letter - Continuous

Administrative/Professional Offer Letter - Non-Continuous

Graduate Research or Pre-Professional Assistant Offer Letter

Graduate Teaching Assistant Offer Letter

Non-Tenure Track Faculty Offer Letter - New Hire, Supervising

Non-Tenure Track Faculty Offer Letter - New Hire, Teaching

Non-Tenure Track Faculty Offer Letter – Rehire, Supervising

Non-Tenure Track Faculty Offer Letter - Rehire, Teaching

Recruitment Letter

Tenure/Tenure Track Faculty Offer Letter

Administrative/Professional Performance Evaluation

Civil Service Performance Evaluation - Exempt

Civil Service Performance Evaluation - Non-Exempt

Non-Tenure Track Faculty Evaluation Process

• Non-Tenure Track Faulty Self-Assessment Tool
• Non-Tenure Track Faculty Self Assessment Form
• Non-Tenure Track Faculty Classroom Evaluation Form
• Non-Tenure Track Faculty Evaluation Form