Forms

Below are the most commonly requested OPC-related forms. All of the documents are in a PDF format and open in a new window unless otherwise indicated.

Insurance

Claim Forms 

• BCBS Claim Form
• PayFlex Claim Form

Miscellaneous

• Acknowledgement of Handbook
• Change of Contact Form
• Job Description Template
• Leave of Absence Form 
• Payroll Authorization Form 
• Return to Work Form 
• Single Sign-On Directions

Retirement (TIAA)

For eligible faculty and staff, this form may be used to enroll in the TIAA 403b retirement plan. The form can also be used to make changes to your TIAA 403b contribution amounts. 

• 403b Salary Reduction Form

Student Employment

• Student Employee Stipend Form
• Student Employee Termination Form
• Student Employment Verbal Warning Form

Tax Forms

• W-4 Federal 2023
• W-4 Illinois

Tuition Remission

Tuition Remission Forms must be completed each semester prior to the start of the semester.

• Access Online Tuition Remission Form via MyDU
• Tuition Waiver_Request Form
• Graduate Tuition Remission Tax Withholdings (fillable pdf)

Faculty Request Forms

• Request for FT Faculty
• Request for Adjunct Faculty