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The following resources are intended for employees and managers of Hanover Township in Cook County, Illinois. Please refer to menu categories to obtain the proper documentation. If you are looking for policies & handbooks, informational documents, or technology training guides, please click here.
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Authorization & Security
Additional Withholding Authorization
Authorization for Building Access
Authorization for Background Check
Authorization for Take Home Vehicle
Authorization to Release information to third parties
Authorization - Return to Work Letter from Healthcare Provider
Direct Deposit Authorization
Alexian Brothers Authorization Form
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Benefits Forms
2015 Benefit Resource Guide  
The 2016 Enrollment Kit
This document helps put all the Township's benefit offerings in perspective for both part and full time employees.
Colonial Life Insurance  

 

Colonial Life Insurance - Information Packet and Rates
The summary plan descriptions outline the coverage for common types of Colonial Life Insurance related services.

 

Colonial Life Insurance - Website

Consult A Doctor  

 

Consult A Doctor - Employee Application

 

Consult A Doctor - Overview
General information on the Township's Consult A Doctor program can be found in this document.

 

Consult A Doctor - Website

Dental Coverage (MetLife)

 

 

MetLife Dental Benefits - Application
Use this form to enroll or make changes during Open Enrollment or a qualifying event.

 

MetLife Dental Benefits - Summary Plan Description
The summary plan descriptions outline the coverage for common types of dental related services.

 

MetLife Dental Benefits - Website

Flex-Spending Account

 

 

TASC - Flex-Spending Account Information
General information on the Township's Flex-Spending Account can be found in this document.

 

TASC - Flex-Spending Account Application
Use this form to enroll or make changes during Open Enrollment or a qualifying event.

 

TASC - Website

Health Savings Account  

 

Health Savings Account - Application

 

Health Savings Account - Additional Withholding Information
Use this form to request additional withholdings from your paycheck into your health savings account.

Life Insurance (Term Life)  

 

MetLife Life Insurance - Employer Term Life Policy
The summary plan descriptions outline the coverage for common types of health related services.

 

MetLife Life Insurance - Voluntary Life Information
The summary plan descriptions outline the coverage for common types of life insurance related services.

 

MetLife Life Insurance - Term Life Application
Use this form to enroll or make changes during Open Enrollment or a qualifying event.

 

MetLife Life Insurance - Website

Major Medical

 

 

Major Medical Application
Use this form to enroll or make changes during Open Enrollment or a qualifying event.

 

UnitedHealthcare - Summary Plan Descriptions
The summary plan descriptions outline the coverage for common types of health related services.

 

UnitedHealthcare - myUHC.com

Pension/Short Term & Long Term Disability/Death benefit for Employees

 

 

IMRF - Regular Plan Description
The Illinois Municpal Retirment Fund is the Township's employee retirment plan, short and long term disability, and death benefit.

 

IMRF - Website

Time Off

 

 

Time Off Request
Use this link to log in to your HR web portal to request time off from your supervisor. Please note, time is not authorized until you receive confirmation email.

 

Time Off Policy
Vacation, Sick, Personal, and other types of time off are explained in the Township's personnel policy.

 

Family Medical Leave Act

Vision Coverage (VSP)

 

 

VSP - Summary of Vision Coverage
The summary plan descriptions outline the coverage for common types of vision related services.

 

VSP - Vision Coverage Application
Use this form to enroll or make changes during Open Enrollment or a qualifying event.

 

VSP Insurance Co. - Website (VSP)

Wellness Benefit

 

 

Wellness Benefit
Information related to the usage of the wellness benefit.

 

Wellness Benefit Reimbursement
This form is to request a reimbursement of your wellness benefit.

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Complaint Process
Filing a complaint from an Americans with Disability Act Violation
Filing a complaint from a disciplinary action
Filing an anonymous ethics violation complaint
Filing an anonymous sexual harassment claim
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Deferred Compensation
CPI Qualified Plan Consultants Information
CPI Qualified Plan Consultants Enrollment Form
CPI Qualified Plan Consultants Website
IMRF Additional Withholding Information
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Deposit Requests
Deposit Policy Information
Deposit Request Form
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Employee Change
Direct Deposit Enrollment/Change Form
Drivers License Update
Employee Change in withholdings
Employee Change in Address Information
Employee Change in Pay Form
Employee Exit Checklist
W-4 Federal (2015)
W-4 Illinois (2015)
Adding Employee Support Services
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Employee Discipline
Disciplinary Policy
Employee Complaint Process
Adding Management Notes to a Personnel File
Proposed Disciplinary Action Form
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Employee Performance
Request HR Assistance with Employee Performance
Sample Employer Evaluation
Sample Employee Self-Evaluation
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Ethics Act Forms
Annual Cook County Manager's Ethics Reporting Form
Filing an anonymous ethics violation complaint
Gift Ban Policy
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Financial & Reimbursement Forms
Check Request Form
Change in Employee Pay Form
Deposit Requests
Invoice/Bill Cover Sheet
Purchase Order Form
Request for Purchase Reimbursement
Request for Travel Reimbursement
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Family Medical Leave Act
FMLA Policy
FMLA Instructions and Request
FMLA Health Care Provider Certification Letter
FMLA Employee/Employer Rights and Resoponsibilites
FMLA Supervisor Authorization Letter
FMLA Supervisor Time Off Available for use during FMLA
FMLA Return to Work Authorization Letter
IMRF Benefit Protection during leave
FMLA Confidentiality Statement
FMLA Sworn Statement
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Inter-Departmental Forms
Hanover Township Social Services Referral Form
Hanover Township Welfare Services Audit Cover Sheet
Hanover Township Welfare Services Audit Report
Request to place advertisment on Township marquee
Press Release Form
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Maintenance Requests
Facilities and Maintenance Request
Technology Trouble Ticket
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New Hire / Employment Forms
New or Vacant Position Request  

 

Position Request
Manager should use this form to approve the creation or application to fill a position at the Township.

Pre-Employment Forms  

 

Hanover Township Employment Application

 

Authorization for background screening
Prior to employment, all employees are required to submit to a criminal background check.

 

Authorization for pre-employment physical / drug testing
Some employees are required to undergo pre-employment phsyicals and drug screening through Alexian Brothers' Medical Group.

 

Sample candidate reference check questionairre
This document will help guide your candidate's reference checks with past employers.

 

Sample candidate pre-screen interview questionairre
This document will help guide you through a first round pre-interview screening process.

 

Sample Offer Letter
Once you have made a decision on hiring a new employee, please use this as a tempate to offer them a position at the Township.

 

Sample Rejection Letter
For those employees who were not selected for an open position at the Township, please use this template as a guide for crafting your letter.

New Hire Forms  

 

Supervisor Notification to HR on New Hire
The first in several forms required to process a new employee. This form provides the authorization for wage placement and assigned benefits.

 

Employee New Hire Information
This form is to be completed by the Employee as part of the new hire process.

 

Supervisor Request for Support Services
If an employee needs building access, email account, network access, laptop, cell phone, or other employee support serivce, please complete this form.

Orientation (O4U!)  

 

HR Checklist for orientation

 

HR Processessing Forms

HR Central Processing form  

 

Employee Acknoweldgement on recieving Personnel Policy

 

Building Access Agreement

 

Federal W-4 (2015)

 

Illinois W-4 (2015)

 

Federal Authorization to Work Form (I-9)
Must also have reviewed and copied credible documentation for employment.

 

State of Illinois New Hire Form

 

Direct Deposit Form

 

Midwest Truckers Association (Add/Modify) Coverage Application

Independent Contractor/Interns

 

 

Independent Contractor/Intern Memo
New Interns or ICs need to review this memorandum so there is an understanding between the Township and their service.

 

Independent Contractor/Intern Work Statement
New Interns or ICs need to review this memorandum so there is an understanding between the Township and their service

Employee Separation

 

 

Employee Separation Report
This report is to be completed by the employee's manager prior to departure from the Township.

 

Exit Interview Questionairre
Exit interviews are only condcuted on Full Time Employees. This form is for the Administrator.

 

COBRA Continuation Form (Template)
This form is to be completed by HR for departing full time employees who elected coverage on the Township's Major Medical plan.

 

IMRF Employee Separation Refund Form

 

Employee Final Pay Calculator
This is for HR's use only once the Employee Separation Report has been completed by the employee's manager.

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Time Off Reporting
HR Software login - BambooHR
Time Off Policy
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Technology Trouble Ticket
Submit a Technology Trouble Ticket
Technology Resource Center/Training Guides
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Township Incident Reporting
Township Incident Report
Township Incident Report (Nurse Evaluation)
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Tuition & Professional Development Assistance
Apply for Professional Development Assistance
Apply for Tuition Assistance
Request for Tutition Assistance Reimbursement
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Wage and Compensation Center
2015 Payroll Calendar
Employee Change in Pay Notice
Employee Additional Withholding Form
Illinois W-4 (2015)
Federal W-4 (2015)
Pay Stub Explanation
Pro-Rated Holiday Pay Calculator for PT Employees
Employee Payroll Sheet
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Workers Compensation Center
Workers' Compensation Packet
Workers' Compensation Employee's Notice of Injury
Workers' Compensation Claimant Information
Worker's Compensation Supervisor's Report of Injury
Workers' Compensation Demands of the Job
Workers' Compensation Witness Report
TOIRMA Workers' Compensation Worksheet
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