Forms and Toolkits for Employees, Supervisors and Department Heads
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Suggestion Box Return to top
Please use suggestionbox@co.champaign.il.us to request changes, additions or corrections to this page, or if you have questions about where to find information.
ADA / FMLA / FFCRA Return to top
General County Information
Americans With Disabilities Act (ADA) Information
Serving People with Disabilities Handbook
Requesting Reasonable Accommodations
FMLA / FFCRA - Posters
FMLA Process
FMLA Decision Tree (Military Caregiver)
FMLA - Notice of Eligibility and Rights
WH-381 Notice of Eligibility and Rights and Responsibilities
FMLA - Designation Notice
WH-382 Designation Notice (PDF)
FMLA / FFCRA - Certification of Healthcare Provider
WH-380-E Certification of Health Care Provider for Employee's Serious Health Conditions
WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition
WH-384 Certification of Qualifying Exigency For Military Family Leave (PDF)
FFCRA - Request Form
Incidents and Injury (Property, Liability, Worker's Comp) Return to top
Illinois Handbook
Illinois Worker's Compensation Handbook
County Process, Flowchart, and Resources
WorkComp Process Flowchart - Diagram
Incident and Injury - to Employees
Worker's Compensation Forms - Employee Injury Report
Worker's Compensation Forms - Medical Authorization Form
Incident and Injury - to anything else
Accounting and Finance Return to top
County-Wide Resources Return to top
Quick Reference Guides
If the public asks about...send them...
County Government - Champaign County
MAP - Locations of County Facilities
County Official Responsibilities
Link to Illinois Statute for County Government
Roles and Duties of County Offices
Training Resources Return to top
United Counties Council of Illinois (UCCI) Leadership Academy (annual, free)
Illinois Association of County Board Members (UACBM) (webinars, free)
EdX (college courses that free to take, but cost to take for credit)
Microsoft quick start guides by Microsoft
Microsoft quick reference guides by Custom Guide
Keyboard Shortcuts
Employee Toolkit Return to top
New Hire Checklist
New Munis User Set Up Form-Single-Dept
Orientation Schedules
2023 New Employee Benefit Orientation Schedule
W-4 / Employment Eligibility
Illinois Withholding Form W-4 Booklet
Direct Deposit
Direct Deposit Authorization Form
Direct Deposit Cancellation Form
Domestic Partnership
Resolution No. 5209 - Adoption of Domestic Partner Statement & Policy for Champaign County, IL
Declaration of Domestic Partnership Form
All benefit elections remain in effect until the next open enrollment period unless you or your family member experience a qualifying event. If you experience a qualifying event, you must notify the Insurance Specialist and provide verification within 30 days of such event. Examples of a qualifying event are marriage/divorce, birth/adoption, new job, and loss of insurance (this is not an inclusive list).
New Employee Benefits Orientation
New Employee Benefits Orientation Video
Allstate Voluntary Products
Allstate Accident/Disability Claim Form
Allstate Outpatient Claim Form
Dental Insurance
How to find a network provider
Predetermination for your Dental Care
The Diabetes and Oral Health Connection
To Go Annual Maximum Carryover
Flexible Spending Account
Medical Flexible Spending Account
1. Minimum deferral - $240/year or $10/pay
2. Maximum deferral - $3,300/year or $137.50/pay
Dependent Day Care Spending Account
1. Maximum deferral - $5,000/year or $208.33/pay
Chard Snyder FSA Reference Guide
Group Life
Medical Insurance
BCBS Plan Summary with HCA Benefits
Summary of Benefits and Coverage
Non-Discrimination Communication
Prescription Flier – Be a Smart Consumer
Understanding your Explanation of Benefits
PREMIUM RATES
AFSCME State’s Attorney, Circuit Court, Circuit Clerk and General Unit
FOP Court Services, Law Enforcement, Corrections, Corrections Sergeants, and Court Security
RPC Indoor Climate Research & Training
Optional Term Life Insurance
Why Choose Life Insurance Video
Optional Term life Frequently Asked Questions
Optional Term Life Enrollment Form
Optional Term Life EOI Enrollment Form
Optional Term Life Change Form
Vision Insurance
County Policies and Bargaining Unit Contracts
Policy Compliance - Agreements to Comply with County Policies and Procedures
The County offers several employment benefits; these are listed on the pubic website.
LifeWorks Employee Assistance Program (EAP)
Taking Ownership of your Career and Professional Development
Please use suggestionbox@co.champaign.il.us to request changes, additions or corrections to this page, or if you have questions about where to find information.
Please use suggestionbox@co.champaign.il.us to suggest
Preparing to Leave
Unemployment Insurance
Supervisor Toolkit Return to top
Onboarding for Supervisors - Coming soon
FMLA / ADA training for Supervisors
Active Shooter Preparedness and Other Resources
OKCG 2020 / FMLA and ADA - handout
Coming Soon
Instructions
Personnel Change Form - Instructions
Forms