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Nippersink School District 2

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EMPLOYEE BENEFIT INFORMATION & FORMS

NIHIP HMO Certificate Booklet 2022-2023
NIHIP PPO Certificate Booklet 2022-2023
NIHIP HMO Vision Certificate Booklet 2021-2022
IMRF Beneficiary
IMRF Personnel Info Change
PayFlex Reimbursement Claim Form
TRS Beneficiary Form
TRS Change of Address Form

Illinois Consumer Coverage Disclosure Act Documentation

The Illinois Act Plan
NIHIP Master HMO EHB List
NIHIP Master PPO HDHP EHB List

STAFF FORMS

BUILDING RELATED FORMS

Credit Card Check Out
Extra Duty Timesheets
Conference and Workshop Preapproval Form
Activity Account Deposit Form
Check Request Form

PERSONNEL FORMS

Authorization to Release Information
Direct Deposit Form
Jury Duty Procedure
Graduate Program Approval Form
Payroll Lane Advancement Request
Personnel Info Change
Social Security Card

REIMBURSEMENT FORMS

2021 Expense Statement/Reimbursement Form
Request for Coursework and Tuition Reimbursement
2022 Expense Statement/Reimbursement Form

TAX FORMS 2022

Illinois Tax Form W-4 2022
Federal Tax Form W-4 2022
Wisconsin W4 Tax Form 2022

Find Us

Nippersink School District 24213 US Highway 12Richmond, IL 60071Phone: (815) 678-4242Fax: (815) 675-0415

Schools

District Home
Nippersink Middle School
Richmond Grade School
Spring Grove Elementary

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