DeKalb County, Illinois

Forms and Publications

Internal
Forms & Publications

• Adobe® Acrobat® Reader is free, and freely distributable, downloadable program that lets you view and print Adobe Portable Document Format (PDF) files. 

Accidents

• Employee Workers Compensation Forms

  • Accident Information Checklist

  • First Report of Injury

   

• Non-Employee

  • Liability Incident Report Forms

Accounts Payable

• Claims Information

  • Claims Calendar - When Due/Paid  (pdf)

  • Claims Instructions - Monthly Payments to Vendors

  • Emergency Check Policy

  • Purchase Order Printable (pdf)  Purchase Order Fillable (pdf)

  • Sales Tax Exemption Letter (pdf)

• Claim Forms

  • Travel Reimbursement Form (Mileage)

    • see also Travel Mileage Reimbursement Rate

  • W-9 Form - For vendors receiving year-end 1099 Form

  • W-9 Form Signed and dated

Employee Benefits

Payroll

• Forms

  • Direct Deposit Form

    • printable (pdf)

    • fillable (pdf)

  • Personnel Changes

  • W-4 State Withholding Tax  - outside link State of IL (pdf)

  • W-4 Federal Withholding Tax  - outside link IRS (pdf)

•  

  Payroll Information

  • Payroll Stuffers

  • EIN (Employer Identification Number)

HIPPA (Health Insurance Portability and Accountability Act)

• Forms

  • Acknowledgement of Receipt of Notice of Privacy Practices

• HIPPA Information

  • Notice of Privacy Practices

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