Northern Illinois University

Human Resource Services

Forms, Documents, and Downloads

Click on a document name to start downloading it. By default, forms are displayed alphabetically by category but can easily be searched or viewed by category at the right.


Affiliate Hiring Forms and Documents


Authorization for Release of Information
6100-Authorization for Release of Information.pdf
Ethics Act Orientation
4000-Ethics Act Orientation.pdf
HRS Required Forms Matrix
1100-HRS Required Forms Matrix.xls
I9 Form
2000-I9 Form.pdf
Personal Data - Name Address Form
1200-Personal Data - Name Address Form.xls
Personnel Action Form
1600-Personnel Action Form.xls
Position Request Form
1700-Position Request Form.xls

Civil Service Forms and Documents


2012 Form W-4
16800-2011 Form W4.pdf
Additional Pay Form
1500-Additional Pay Form.xls
Affirmative Action Hiring Record for Civil Service
2600-Affirmative Action Hiring Record for Civil Service.pdf
Authorization for Release of Information
6100-Authorization for Release of Information.pdf
Civil Service Application Information
3300-Civil Service Application Information.pdf
Civil Service EEOC Information Form
15900-Civil Service EEOC Information Form.doc
Civil Service Employment Information
3200-Civil Service Employment Information.pdf
Civil Service Employment Register Request Form
13900-Civil Service Employment Register Request Form.xls
Civil Service Performance Factors
12000-Civil Service Performance Factors.pdf
Civil Service Request To Test Form
13800-Civil Service Request To Test Form.xls
Ethics Act Orientation
4000-Ethics Act Orientation.pdf
Exit Checklist
14300-Exit Checklist.xls
Foreign National Information Form
2500-Foreign National Information Form.pdf
HRS Required Forms Matrix
1100-HRS Required Forms Matrix.xls
I9 Form
2000-I9 Form.pdf
Job Not Covered by Social Security - SSA FORM 1945
3900-Job Not Covered by Social Secuiry - SSA FORM 1945.pdf
Operating Staff Handbook
10500-Operating Staff Handbook.pdf
Personal Data - Name Address Form
1200-Personal Data - Name Address Form.xls
Personnel Action Form
1600-Personnel Action Form.xls
Position Request Form
1700-Position Request Form.xls
Scheduled Closure Day Agreement for 2011
16100-Scheduled Closure Day Agreement.xls

Collective Bargaining Agreements Forms and Documents


AFSCME Contract 2006-2010
13200-AFSCME Contract 2006-2010.pdf
AFSCME Health Services Agreement 7-1-2007 to 6-30-2012
13400-AFSCME Health Services Agreement 7-1-2007 to 6-30-2012.pdf
Illinois Fraternal Order of Police Labor Council
12600-Illinois Fraternal Order of Police Labor Council.PDF
International Brotherhood of Electrical Workers - Local 364
12500-International Brotherhood of Electrical Workers - Local 364.pdf
International Union of Operating Engineers - Local 150 - Routedrivers
12400-International Union of Operating Engineers - Local 150 - Routedrivers.pdf
International Union of Operating Engineers, Local 150 - NIU Grounds
12300-International Union of Operating Engineers, Local 150 NIU Grounds.pdf
Metropolitan Alliance of Police Security Guards 2005-2010
13300-Metropolitan Alliance of Police Security Guards 2005-2010.pdf
NIU Instructors Unit - Local 4100 of the University Professionals of Illinois - AFT - IFT - and AFL-CIO
12800-NIU Instructors Unit - Local 4100 of the University Professionals of Illinois - AFT - IFT - and AFL-CIO.pdf
The General Chauffeurs and Helpers - Teamsters Local No 330
12700-The General Chauffeurs and Helpers - Teamsters Local No 330.pdf
The International Union of Operating Engineers
13000-The International Union of Operating Engineers.pdf
The Metropolitan Alliance of Police NIU Chapter #291
13100-The Metropolitan Alliance of Police NIU Chapter .pdf
United Brotherhood of Carpenters and Joiners of America
12900-United Brotherhood of Carpenters and Joiners of America.pdf

Deferred Compensation Forms and Documents


403b and 457b Tax-Deferred Compensation Programs Brochure
9700-403b and 457b Tax-Deferred Compensation Programs Brochure.pdf
Salary Reduction Agreement - 403b and Roth Option
9800-Salary Reduction Agreement - 403(b) and Roth Option.pdf
State Employees Deferred Compensation Plan Beneficiary Election Form
9900-State Employees Deferred Compensation Plan Beneficiary Election Form.pdf
State Employees Deferred Compensation Plan Change Form
10000-State Employees Deferred Compensation Plan Change Form.pdf
State Employees Deferred Compensation Plan Enrollment Form
10100-State Employees Deferred Compensation Plan Enrollment Form.pdf

Department Update Forms and Documents


Department Information Form
14800-Department Information Form.xls

Extra Help Hiring Forms and Documents


2012 Form W-4
16800-2011 Form W4.pdf
Authorization for Release of Information
6100-Authorization for Release of Information.pdf
Civil Service Application Information
3300-Civil Service Application Information.pdf
Ethics Act Orientation
4000-Ethics Act Orientation.pdf
Exit Checklist
14300-Exit Checklist.xls
Foreign National Information Form
2500-Foreign National Information Form.pdf
HRS Required Forms Matrix
1100-HRS Required Forms Matrix.xls
I9 Form
2000-I9 Form.pdf
Personal Data - Name Address Form
1200-Personal Data - Name Address Form.xls
Personnel Action Form
1600-Personnel Action Form.xls
Position Request Form
1700-Position Request Form.xls

Faculty Hiring Forms and Documents


2012 Form W-4
16800-2011 Form W4.pdf
9 Over 12 Policy and Form
3100-9 Over 12 Policy and Form.doc
Additional Pay Form
1500-Additional Pay Form.xls
Affirmative Action Recruitment Record - Part 1
2300-Affirmative Action Recruitment Record - Part 1.doc
Affirmative Action Recruitment Record - Part 2
2400-Affirmative Action Recruitment Record - Part 2.doc
Authorization for Release of Information
6100-Authorization for Release of Information.pdf
Ethics Act Orientation
4000-Ethics Act Orientation.pdf
Exit Checklist
14300-Exit Checklist.xls
Foreign National Information Form
2500-Foreign National Information Form.pdf
HRS Required Forms Matrix
1100-HRS Required Forms Matrix.xls
I9 Form
2000-I9 Form.pdf
Job Not Covered by Social Security - SSA FORM 1945
3900-Job Not Covered by Social Secuiry - SSA FORM 1945.pdf
Moving Expense Reimbursement Form
14100-Moving Expense Reimbursement Form.xls
Personal Data - Name Address Form
1200-Personal Data - Name Address Form.xls
Personnel Action Form
1600-Personnel Action Form.xls
Position Request Form
1700-Position Request Form.xls
Request for Waiver of External Search Form
3400-Request for Waiver of Search Form.doc

General Forms and Documents


2012 Wellness Fair Application
15200-2012 Wellness Fair Application.pdf
Scheduled Closure Day Agreement for 2011
16100-Scheduled Closure Day Agreement.xls

Grad Assistant's Hiring Forms and Documents


2012 Form W-4
16800-2011 Form W4.pdf
Authorization for Release of Information
6100-Authorization for Release of Information.pdf
Ethics Act Orientation
4000-Ethics Act Orientation.pdf
Exit Checklist
14300-Exit Checklist.xls
Foreign National Information Form
2500-Foreign National Information Form.pdf
Graduate Assistant Application
3700-Graduate Assistant Application.pdf
Graduate Assistant Employment Application Evaluation
3800-Graduate Assistant Employment Application Evaluation.doc
Graduate Assistantship Renewal Application
1800-Gradutate Assitantship Renewal Application.doc
HRS Required Forms Matrix
1100-HRS Required Forms Matrix.xls
I9 Form
2000-I9 Form.pdf
Offer Letter Template for New Graduate Assistants
2100-Offer Letter Template for New Graduate Assistants.doc
Personal Data - Name Address Form
1200-Personal Data - Name Address Form.xls
Personnel Action Form
1600-Personnel Action Form.xls
Position Request Form
1700-Position Request Form.xls

Grievance Forms and Documents


Grievance Form
14500-Grievance Form.doc

Independent Contractors Forms and Documents


Independent Contractor Certified Work Statement
2700-Independent Contractor Certified Work Statement.xls
Independent Contractor Memorandum
3000-Independent Contractor Memorandum.doc
Independent Contractor Questionnaire
2800-Independent Contractor Questionnaire.pdf

Leave of Absence Forms and Documents


Accommodation Request Form
4800-Accommodation Request Form.pdf
Authorization to Travel Form
6500-Authorization to Travel Form.XLS
FMLA Packet
12100-FMLA Packet.pdf
Request for Leave of Absence Form
15800-Request for Leave of Absence Form.pdf
Request for Sabbatical Leave
14400-Request for Sabbatical Leave.xls
Workmans Comp Packet
12200-Workmans Comp Packet.pdf

Payroll Forms and Documents


NIU Foundation Payroll Deduction Form
5400- NIU Foundation Payroll Deduction Form.xls
Direct Deposit Authorization Change
5000-Direct Deposit Authorization Change.xls
Hourly Time Sheet and Benefit Usage Report
1300-Hourly Time Sheet and Benefit Usage Report.xls
Notice to Employees with Employer-Provided Vehicles
6800-Notice to Employees with Employer-Provided Vehicles.pdf
Salaried Employee Benefit Usage Form
1400-Salaried Employee Benefit Usage Form.xls
Scheduled Closure Day Agreement for 2011
16100-Scheduled Closure Day Agreement.xls
SECA Pledge Form
11600-SECA Pledge Form.pdf
Start-Stop Payroll Deduction Authorization
5300-Start-Stop Payroll Deduction Authorizaction.xls

SPS Hiring Forms and Documents


2012 Form W-4
16800-2011 Form W4.pdf
9 Over 12 Policy and Form
3100-9 Over 12 Policy and Form.doc
Additional Pay Form
1500-Additional Pay Form.xls
Affirmative Action Recruitment Record - Part 1
2300-Affirmative Action Recruitment Record - Part 1.doc
Affirmative Action Recruitment Record - Part 2
2400-Affirmative Action Recruitment Record - Part 2.doc
Authorization for Release of Information
6100-Authorization for Release of Information.pdf
Ethics Act Orientation
4000-Ethics Act Orientation.pdf
Exit Checklist
14300-Exit Checklist.xls
Foreign National Information Form
2500-Foreign National Information Form.pdf
HRS Required Forms Matrix
1100-HRS Required Forms Matrix.xls
I9 Form
2000-I9 Form.pdf
Job Not Covered by Social Security - SSA FORM 1945
3900-Job Not Covered by Social Secuiry - SSA FORM 1945.pdf
Moving Expense Reimbursement Form
14100-Moving Expense Reimbursement Form.xls
Personal Data - Name Address Form
1200-Personal Data - Name Address Form.xls
Personnel Action Form
1600-Personnel Action Form.xls
Position Request Form
1700-Position Request Form.xls
Principal Administrative Position Exemption Request Form
3500-Principal Administrative Position Exemption Request Form.doc
Request for Waiver of External Search Form
3400-Request for Waiver of Search Form.doc
Scheduled Closure Day Agreement for 2011
16100-Scheduled Closure Day Agreement.xls
SPS EEOC Information Form
16000-SPS EEOC Information Form.doc
Supportive Professional Staff Handbook
10700-Supportive Professional Staff Handbook.pdf

Student Hiring Forms and Documents


2012 Form W-4
16800-2011 Form W4.pdf
Authorization for Release of Information
6100-Authorization for Release of Information.pdf
Ethics Act Orientation
4000-Ethics Act Orientation.pdf
Excess Hours Permit
6300-Excess Hours Permit.xls
Exit Checklist
14300-Exit Checklist.xls
Foreign National Information Form
2500-Foreign National Information Form.pdf
HRS Required Forms Matrix
1100-HRS Required Forms Matrix.xls
I9 Form
2000-I9 Form.pdf
Personal Data - Name Address Form
1200-Personal Data - Name Address Form.xls
Personnel Action Form
1600-Personnel Action Form.xls
Position Request Form
1700-Position Request Form.xls
Student Academic Probation Work Permit
6200-Student Academic Probation Work Permit.xls
Student Employment Handbook
10600-Student Employment Handbook.pdf
Student Evaluation Form
15000-Student Evaluation Form.xls

Tuition Waiver Forms and Documents


CS-SPS Faculty Tuition Waiver Application
8700-CS-SPS Faculty Tuition Waiver Application.xls
Dependent Tuition Waiver
8900-Dependent Tuition Waiver.pdf
Interinstitutional Waiver of Tuition
9000-Interinstitutional Waiver of Tuition.xls
Waiver for Survivors of Deceased Employees
8800-Waiver for Survivors Deceased Employees.xls

Volunteer Information Forms and Documents


Adult Academic Support Service Volunteer and Personal Assumption of Risk Agreement
6000-Adult Academic Support Service Volunteer and Personal Assumption of Risk Agreement.pdf
Instructional Volunteer Agreement for Adjunct Faculty
5900-Instructional Volunteer Agreement for Adjunct Faculty.pdf
Volunteer Services Agreements - Non Instructional
5800-Volunteer Services Agreements - Non Instructional.pdf

Workers' Compensation Forms and Documents


CMS Workers Compensation Claimant Information Release
9300-CMS Workers Compensation Claimant Information Release.cfm
CMS Workers Compensation Demands of the Job
9500-CMS Workers Compensation Demands of the Job.cfm
CMS Workers Compensation Employee's Notice of Injury
9200-CMS Workers Compensation Employee's Notice of Injury.cfm
CMS Workers Compensation Packet
9100-CMS Workers Compensation Packet.pdf
CMS Workers Compensation Supervisor Report or Injury
9400-CMS Workers Compensation Supervisor Report or Injury.cfm
CMS Workers Compensation Witness Report
9600-CMS Workers Compensation Witness Report.cfm

Benefits and Insurance Forms and Documents


CMS Group Insurance Enrollment\Change Form
13600-CMS Group Insurance Enrollment-Change Form.pdf
Opt Out and Opt In Election Certificate
8500-Opt Out and Opt In Election Certificate.pdf
CMS Dependent Elgiibility Certification Statement
7500-CMS Dependent Elgiibility Certification Statement.pdf
Group Insurance Program Documentation Requirements
14600-Documentation Requirements.pdf
FY2012 Group Insurance Programs and Rates
11200-FY2012 Group Insurance Programs and Rates.xls
Dental Coverage FY2012
14700-Dental Coverage FY12.xls
State of Illinois Group Health Insurance Plans
11300-State of Illinois Group Health Insurance Plans.xls
FY2012 Term Life Coverage
11500-FY2012 Term Life Coverage.xls
CMS Medical Care Assistance Plan Enrollment Form-MCAP
7700-CMS Medical Care Assistance Plan Enrollment Form (MCAP).pdf
CMS Dependent Care Assistance Plan Enrollment Form-DCAP
7600-CMS Dependent Care Assistance Plan Enrollment Form (DCAP).pdf
CMS Mental Health-Substance Abuse Claim Form for Magellan
7400-CMS Mental Health-Substance Abuse Claim Form for Magellan.pdf
FSA Reimbursement Request Form
13500-FSA Reimbursement Request Form.pdf
CMS Group Life Insurance Beneficiary Form for Minnesota Life
7300-CMS Group Life Insurance Beneficiary Form for Minnesota Life.pdf
Minnesota Life Statement of Health
8200-Minnesota Life - Statement of Health.pdf
CMS Health Claim Form for Quality Care-Cigna
7200-CMS Health Claim Form for Quality Care-Cigna.pdf
CompBenefits Dental Claim Form
7100-CompBenefits Dental Claim Form.pdf
CMS Mental Health-Substance Abuse Claim Form
13700-CMS Mental Health-Substance Abuse Claim Form.pdf
Prudential LTD Brochure
15300-Prudential LTD Brochure.pdf
Prudential LTD Certificate
15400-Prudential LTD Certificate.pdf
Prudential LTD Enrollment Form
15500-Prudential LTD Enrollment Form.pdf
Prudential LTD Short Form EO
15600-Prudential LTD Short Form EO.pdf
Prudential LTD Termination Form
15700-Prudential LTD Termination Form.pdf
Sick Bank Form for Full Time Employees
8600-Sick Bank Form for Full Time Employees.pdf
Sick Bank Form for Temporary Employees
10300-Sick Bank Form for Temporary Employees.pdf
State of Illiniois Benefits Handbook
10900-State of Illiniois Benefits Handbook.pdf