Forms

Academic Employee Forms

DOC= Microsoft Word Document
PDF = Portable Document Format, which requires Adobe Acrobat Reader

A

Academic Professional Review

Academic Professional Review – Attachment 1 (to Provost Communication #22)(PDF)

Academic Professional Review – Attachment 2 (to Provost Communication #22) (PDF)

Academic Professional Review – Letter Template (DOC)

Academic Professional Review – Optional Employee Worksheet (PDF)

Academic Shared Benefits Donation Form – This is now an electronic form within System HR Services. Academic employees can contact AHRsharedbenefits@illinois.edu with questions about shared benefits.

Academic Shared Benefits – Request for Sick Leave Credit – Academic employees can contact AHRsharedbenefits@illinois.edu with questions about shared benefits.

C

Change in Percent Time/FTE Acceptance form for Academic Employees (PDF)

E

Educational Loan Default Statement

Effort Reporting Form (PDF)

Employment Eligibility Verification (I-9) form is online, see Tracker Electronic I-9

Employment of Relatives Form (PDF)

Employee Separation and Exit Form (for Faculty, Postdoctoral Research Associates, Academic Processional and Civil Service Employees – (PDF)

Employee Separation and Exit form (for Graduate Assistants (all titles), Graduate Hourly, Academic Hourly, and Extra Help Employees – (PDF)

F

Faculty and Academic Professional Leave of Absence Without Pay (PDF)

Family and Medical Leave Act Forms

FMLA Form (PDF)

FMLA Medical Certification
Employee: PDF | Word
Family Member: PDF | Word
Service Member: PDF | Word

FTE/Percent Time Change Acceptance form for Academic Employees (PDF)

H

Health Care Provider Release Form (PDF)

HireTouch
The following forms can be found in the HireTouch system:
0% Faculty Appointments
Academic Hiring Request Form
Hiring Request Form
PAPE Request Form
Rehire Retiree Form
Transmittal - Cases Forwarded for Second-Level Review
Transmittal - Executive Officer Appointments
Transmittal - Facuty Appointments with Tenure
Transmittal - New Academic Professional Appointments with Salaries over $90,000

I

The I-9 form is now an electronically completed document in the Tracker system

L

Leave of Absence Without Pay Request (PDF)

Letter to Faculty on an Initial Term Appointment (“Q” Appointment) (PDF)

Lump Sum Payments Guidelines

N

Non-Allowable Activities Request Form (PDF)

Notice of Nonreappointment Sample Letter -  Long-Term Academic Professional Employee (PDF)

Notice of Nonreappointment  Sample Letter - Non-Long-Term Academic Professionals and all other Notice-Eligible Academics (DOC)

O

Offer Letters

Offer Letter - Academic Professional (DOC)

Offer Letter - Assistant Professor-Tenure-Track Faculty (DOC)

Offer Letter - Assistant Professor-Tenure-Track Faculty, But ABD (DOC)

Offer Letter - Associate or Full Professor with Indefinite Tenure (DOC)

Offer Letter - Faculty on an Initial Term Appointment (“Q” appointment) (Communication #2) (DOC)

Offer Letter Salary Structure for Unit Executive Officers (DOC)

Offer Letter - Visiting Academic Professional (DOC) new!

P

PAPE Request Form (a HireTouch form)

Procedure for Obtaining Permanent Residence for Foreign Staff Members 

R

Reasonable Accommodation Request Form

Recommendation for Promotion or Tenure

Release of Information Form (DOC)

Retiree Rehire Form

S

Sabbatical Leave Report Submission Cover Sheet (PDF)

Senate Promotion and Tenure Information Questionnaire (PDF)

Separation Grid

Service in Excess/Lump Sum Form – Overtime Eligible

Service in Excess/Lump Sum Form – Overtime Exempt

Service Toward Completion of the Probationary Period (PDF)

Shared Benefits Donation Form – This is now an electronic form within System HR Services. Academic employees can contact AHRsharedbenefits@illinois.edu with questions about shared benefits.

Sick Leave Waiver Form

Sick Leave Information
Leave Forms
Benefits

Social Security Card Application (PDF)

Special Agreement to Accept Academic Appointment and Reappointment for Definite Terms (“W” Agreement) (PDF)

Special Written Agreement to Accept Terms of a Multi-Year Contract (PDF)

Summer Exception Form - Academics (PDF)

Summer Exception Form - Grads (PDF)

T

Transmittal Forms

Transmittal - 0% Faculty Appointments (a HireTouch form -- scroll down to the 'Provost Comm #3' templates to begin this workflow)

Transmittal  - Approval for Faculty Excellence, Stage 1 (PDF)

Transmittal  - Approval for Faculty Excellence, Stage 2 (PDF)

Transmittal - Approval for TOP, Stage 1 (PDF)

Transmittal - Approval for TOP, Stage 2 (PDF)

Transmittal  - Cases Forwarded for Second-Level Review (a HireTouch form -- scroll down to the 'Provost Comm #3' templates to begin this workflow)

Transmittal - Dual Career Academic Couples Program (PDF)

Transmittal  - Emeritus/Emerita Status Request (PDF)

Transmittal - Executive Officer Appointments (a HireTouch form -- scroll down to the 'Provost Comm #3' templates to begin this workflow)

Transmittal - Faculty Appointments with Tenure (a HireTouch form -- scroll down to the 'Provost Comm #3' templates to begin this workflow)

Transmittal - Named Faculty Appointments (PDF)

Transmittal  - New Academic Professional Appointments with Salaries over $90,000 (a HireTouch form -- scroll down to the 'Provost Comm #3' templates to begin this workflow)

Transmittal  - Probationary (Untenured) Associate or Full Profesors (“Q” Appointees) (PDF)

Transmittal  - Tenure Rollback Request (PDF)

W

Workers' Compensation