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 NESSIE. 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 (PDF)

Effort Reporting Form (PDF)

Employment Eligibility Verification (I-9) form (PDF)

Exit Checklist for Academic Employees – (PDF)

Exit Checklist for Academic Hourly and Graduate 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 (DOC)

Release of Information Form (DOC)

Retiree Rehire Form

S

Sabbatical Leave Report Submission Cover Sheet (PDF)

Senate Promotion and Tenure Information Questionnaire (PDF)

Service in Excess of 100% (PDF)

Service Toward Completion of the Probationary Period (PDF)

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

Sick Leave Policy for Academic Staff Members – Waiver and Direction (PDF)

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)