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Office of Human Resources: Illinois State University

Account/Position Number Request Form

Complete this form when you need to request the account and position number for an Extended University credit generating contract or flex course payment.  The form will be submitted to Extended University who will respond to you via e-mail.  Attach that e-mail to the appointment paperwork as the fiscal agent authorization and submit to Human Resources.

Department Contact Name  
Department Contact E-Mail Address  
Employee's Name  
Primary Appointment  
Type of Payment  
Course Department  
Course Number  
Section Number  
Type of Course  
Is this payment for student supervision?  
Total amount of payment  
Amount per month  
Begin Date  
End Date  
Comments - Indicate any special conditions for the course.  For example, if the department will make all summer payment in one month even though the course spans multiple months or if the contract department is different from the course department.  

For questions regarding the contract or flex course, please contact Garnet Allen at Extended University at (309) 438-2943.  For questions regarding the hiring paperwork, contact Human Resources at (309) 438-5506.