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Payroll & Benefits Forms

W-2/1042-S/1095-C Tax Statement [My UI Info]

Online W-2/1042-W/1095-C tax statements
Federal Form W-2, Wage and Tax Statement
Sample of blank W-2 statement that is mailed to each employee at year end

See Reissiue Tax Forms for instructions if you have electronic delivery of tax forms.

If you are unable to access prior year tax forms, please contact University Payroll & Benefits through the UPB Customer Service Portal

Illinois Department of Revenue Form IL-W-5-NR, Employee's Statement of Nonresidence in Illinois

If you live in a reciprocal state (Iowa, Kentucky, Michigan, or Wisconsin) and you travel to Illinois to perform your work a majority of the time, use this form to claim exempt from Illinois tax withholding and begin withholding for your state of residence (Iowa, Kentucky, Michigan, or Wisconsin).

Certification of Non-residence in Illinois [updated: 12/6/11]

Complete this form if you live outside of Illinois and perform the majority of your work outside of Illinois (if qualified and approved).

Form 1042-S, Foreign Person's U.S. Source Income Subject to Withholding

Sample of blank statement sent to foreign national persons with earnings from the University of Illinois

Employee Statement of Employer Provided Vehicle [updated: 10/27/15]

To report usage of an employer provided vehicle for tax purposes.

Voluntary Deduction Agreement Form [updated: 8/26/22]

This form is used to set up a voluntary agreement to repay an Illinois State Offset Accounts Receivable deduction.
UPB Payroll Deduction Revocation Form

This online form is used to revoke deductions from a Voluntary Deduction Agreement

Foreign National Payment e-Form [updated: 04/30/2022]

Use this form to submit payment requests for non-employment and non-travel expense reimbursements. The Foreign National Payment e-Form utilizes electronic approval. Please see these instructions on how to set up your digital id.
Foreign National Scholarship and Fellowship Payments [updated: 7/16/08]

Use this form to aid in the process of selecting the correct payment option of scholarships and fellowships for nonresident alien students.
Please see the Foreign National Scholarship and Fellowship Payments for additional forms.

Direct Deposit or Pay Card [My UI Info]

If you are unable to review or make direct deposit changes on line, please contact University Payroll & Benefits through the UPB Customer Service Portal.