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The form details consequences for salary, insurance premiums, leave accruals, retirement contributions, and holiday pay, including prorated impacts and possible effects on notice of nonreappointment rights. It specifies required notification timelines to the University Payroll & Benefits office, relevant eligibility thresholds, and collects signatures, dates, department information, and effective date.","Change in Percent Time/FTE Acceptance Form for Academic Employees  \n(Not Applicable for Graduate Student Employees)  \nThis is to certify that I am requesting or voluntarily accepting a change in my job percent time/FTE (Full-Time Equivalent) . I understand that certain benefits are based on my total job percent time/FTE, and that this change will impact my salary, insurance premiums, leave accruals, retirement contributions, holiday pay, and other employment rights. I understand that any future change to my FTE is not a guarantee and must be approved by my department.  \nIncrease in Percent Time/FTE: I understand that an increase in percent time/FTE represents an increase in service and that my salary, retirement contributions, and leave benefits will be increased accordingly. If applicable, eligibility for insurance or my insurance premiums may also be impacted.  \nReduction in Percent Time/FTE: I understand that a reduction in my total percent time/FTE represents a reduction in service and that my salary, retirement contributions, and leave benefits will be prorated accordingly from the effective date of the change. If applicable, eligibility for insurance or my insurance premiums may also be impacted. If I hold a current position(s) that is eligible for notice of nonreappointment rights, I also understand that a reduction in my percent time/FTE may impact my official notice of nonreappointment rights. I am aware that if my total percent time/FTE falls below 50% or .5 FTE, I may no longer be eligible for insurance benefits with the University, or cumulative sick leave.  \nI accept that it is my responsibility to contact the University Payroll & Benefits (UPB) office within:  \n• Thirty (30) calendar days of the effective date of the following change:  \no Current position less than 50% FTE, moving to a 50% -100% FTE position  \n• Sixty (60) calendar day of the effective date of the following changes:  \no Current position 100% FTE enrolled in State insurance benefits, moving to a part-time position 50% -99% FTE. If you waive coverage, this change will be effective as of the date you requested the waiver; therefore, you will be responsible for the health insurance premium at the part-time rate until that time.  \no Current position 50% -99% FTE, to a 100% FTE position  \no Current position 50% -99% FTE with State insurance benefits waived to a 100% FTE position  \nCurrent Percent time/FTE:  Proposed Percent time/FTE:    \nCurrent Salary:   Proposed Salary:    \nPosition Number(s)   Effective Date of Change:  Employee Name:  UIN:    \nEmployee Signature:   Date:  Supervisor Name:    \nSupervisor Signature:   Date:    \nDepartment(s)/Unit(s):    \nAuthorized Department/Unit Administrator: (if different than supervisor)  \nAuthorized Department/Unit Administrator Signature:    \nFor questions, contact University Payroll & Benefits (UPB)  \nEmail: [benefits@uillinois.edu](benefits@uillinois.edu)  \n[Urbana-Champaign: 217-265-6363](Urbana-Champaign: 217-265-6363)  \n[Chicago: 312-996-7200](Chicago: 312-996-7200)  \n[Springfield: 217-206-7144](Springfield: 217-206-7144)  \nNOTE TO DEPARTMENT/UNIT ADMINISTRATOR: This signed document must be included as an attachment to the employee’s Human Resource Front End (HRFE) Transaction using the FTE Change document type. The HRFE transaction should be submitted at least two (2) weeks prior to the FTE change but no later than 3 working days after the effective date of the change. 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