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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
    BCBS Transparency in Coverage Access
    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
    Health Insurance Marketplace Coverage Options

    STAFF FORMS

    BUILDING RELATED FORMS

    • Credit Card Check Out

    • Extra Duty Timesheets

    • Activity Account Deposit Form

    • Check Request Form

    • New Vendor Request

    • W-9 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

    • Request for Coursework and Tuition Reimbursement

    • 2022 Expense Reimbursement (Effective 7/1/2022 - 12/31/2022

    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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