Forms and Toolkits for Employees, Supervisors, and Department Heads

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

Accommodation Request Form

Accommodation Medical Provider Form

Accommodation Sample Resolution Form

FMLA / FFCRA - Posters

FMLA Process

FMLA Decision Tree (Military Caregiver)

FMLA Guide - Employee

FMLA Guide - Employer

FMLA Roadmap

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)

WH-385 Certification for Serious Injury or Illness of Covered Service member -- for Military Family Leave (PDF)

FFCRA - Request Form

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 General Information

WorkComp Process Flowchart - Diagram

WorkComp Process Flowchart - Information

WorkComp Medical Providers

Incident and Injury - to Employees

Worker's Compensation Forms - Employee Injury Report

Worker's Compensation Forms - Medical Authorization Form

Worker's Compensation Forms - Supervisor Report

Worker's Compensation Forms - Witness Report

Incident and Injury - to anything else

Incident Report for All Claims Form

Automobile Loss Notice Form

Liability Loss Notice Form

Property Loss Report Form

Accounting and Finance Return to top

FY2025 PADS and Munis Budget Training

FY2025 Budget Instructions

Munis Central Budget Entry & Budget Reports

Historical TB Activity w Object Code

Fixed Asset Equipment Change Form

Champaign County Munis ERP Manual

Chart of Accounts and Definitions

Lost Receipt Form

Travel Advance Form

Travel Buisness Expense Form

Meal Allowance Per Diem Reimbursement Rates

New Vendor Form

New Vendor Checklist

Signed County W-9 (updated each year in January)

County Sales Tax Exempt Certificate

Munis ERP Templates

Chart of Accounts Master Add Template

Project Phase/Task Codes Template

Grant Consideration, Acceptance, Renewal/Extension Application

Grant Financial Impact Statement

County-Wide Resources Return to top

Emergency Plan Worksheet

COOP Planning Guide

Quick Reference Guides

Acronyms

If the public asks about...send them...

Legal Resources

County Government - Champaign County

County Organizational Chart

MAP - Locations of County Facilities

MAP - Courthouse Offices

MAP - Brookens Offices

County Official Responsibilities

Link to Illinois Statute for County Government

Roles and Duties of County Offices

Roles and Duties of the County Executive

Roles and Duties of the County Board

Brookens Meeting Room Reservation Form

Roberts Rules of Order Motions Chart

Deadlines to Submit Items for County Board Meetings

Toshiba - New User Setup

Toshiba - Common Functions

Toshiba - How the keys work

PDF of letterheads below

Letterhead - Simple

Letterhead - Traditional

Letterhead - List of Departments

Letterhead - Department Contacts

Training Resources Return to top

United Counties Council of Illinois (UCCI) Leadership Academy (annual, free)

Illinois Association of County Board Members (UACBM) (webinars, free)

Local Government Education by Illinois Extension

Chamber of Commerce training events

Parkland College community education

EdX (college courses that free to take, but cost to take for credit)

Lifehacks (free personal development course)

Microsoft quick start guides by Microsoft

Microsoft quick reference guides by Custom Guide

Keyboard Shortcuts

Windows 10, short list

Word, all keyboard shortcuts

NEOGOV Learn - User Guide

NEOGOV Learn - Creating Courses

NEOGOV Learn - Enrolling in Courses

NEOGOV Learn - Completing Courses

NEOGOV Learn - Managers

NEOGOV Learn - Beyond Basics

NEOGOV Learn - Surveys

NEOGOV Learn - Administrative Guide

Mitel 6920 IP Phone - User Guide

Mitel ACD Telephone Operation - User Guide

Mitel ACD Web Ignite - User Guide

Mitel Nupoint Unified Messaging (Voicemail) - User Guide

Employee Toolkit Return to top

New Hire Checklist

New Hire Checklist

New Munis User Set Up Form-Single-Dept

Orientation Schedules

2023 New Employee Benefit Orientation Schedule

W-4 / Employment Eligibility

Federal Withholding Form W-4

Illinois Withholding Form W-4 Booklet

Direct Deposit

Direct Deposit Authorization Form

Direct Deposit Cancellation Form

Direct Deposit Fact Sheet

Domestic Partnership

Resolution No. 5209 - Adoption of Domestic Partner Statement & Policy for Champaign County, IL

Declaration of Domestic Partnership Form

Registration of Domestic Partnership Affidavit

Affidavit of Termination of Registered Domestic Partnership

2024 Holiday-Calendar

2024 Fringe Benefits Costs

2024 Non-Bargaining Salary Schedule

2024 Payroll Calendar

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

2024 Benefit Enrollment Guide

New Employee Benefits Orientation Video

Allstate Voluntary Products

Allstate Accident Brochure

Allstate Cancer Brochure

Allstate Enrollment Form

Allstate Accident/Disability Claim Form

Allstate Cancer Claim Form

Allstate Outpatient Claim Form

Allstate Rates per pay period

Dental Insurance

Network Plan – Benefit Booklet

Non-Network Plan – Benefit Booklet

How to find a network provider

Enrollment Form

Enhanced Benefits Program

Fillings 101

Oral Health Basics

Predetermination for your Dental Care

Stress and Oral Health

The Diabetes and Oral Health Connection

Tips for Dental Emergencies

To Go Annual Maximum Carryover

Your Child’s Oral Health

Rates – per pay period

Flexible Spending Account

Medical Flexible Spending Account
1. Minimum deferral - $240/year or $10/pay
2. Maximum deferral - $3,200/year or $133.33/pay

Dependent Day Care Spending Account
1. Maximum deferral - $5,000/year or $208.33/pay

BPC Direct Deposit Authorization Form

BPC On-line Portal Registration Flyer

FSA Frequently Asked Questions

Flex Overview

FSA and DCA Open Enrollment Flyer

FSA Eligible Items

FSA Store Flyer

FSA Claim Form

Dependent Care Overview

Dependent Care Claim Form

Dependent Care Provider Form

Dependent Care Frequently Asked Questions

Enrollment Form

Mobile App Marketing

Web Portal and Mobile App Registration Instructions

Using the BPC website

Medical Insurance

BCBS Benefit Enrollment Guide

BCBS Benefit Booklet

BCBS ID Card

Benefit Highlights

Summary of Benefits and Coverage

Adult Wellness Guidelines

Child Wellness Guidelines

Perinatal Wellness Guidelines

Non-Discrimination Communication

Prescription Flier – Be a Smart Consumer

Glossary of Insurance Terms

Understanding your Explanation of Benefits

Enrollment Form

PREMIUM RATES

AFSCME Head Start

AFSCME State’s Attorney, Circuit Court, Circuit Clerk and General Unit

AFSCME Highway

FOP Court Services, Law Enforcement, Corrections, Corrections Sergeants, and Court Security

Non-Bargaining General

Non-Bargaining RPC

RPC CEO

RPC Police Training Grant

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

Premium Rate Table

Beneficiary Change Form

Vision Insurance

EyeMed Direct Benefit Summary

Vision Brochure

How to find a vision provider

Vision Enrollment Form

Rates – per pay

Frequently Asked Questions

Provider Directory

County Policies and Bargaining Unit Contracts

County Policies

Bargaining Unit Contracts

Policy Compliance - Agreements to Comply with County Policies and Procedures

Policy Agreement - New Hire

Policy Agreement - Annual

The County offers several employment benefits; these are listed on the pubic website.

LifeWorks Employee Assistance Program (EAP)

Employee Benefits Information

Taking Ownership of your Career and Professional Development

Maintaining your Employment History File

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 Lunch and Learn topics.

Preparing to Leave

Termination Checklist

Termination Packet

Unemployment Insurance

What Every Worker Should Know About Unemployment Insurance

Unemployment Insurance Benefits Handbook