Eastern Illinois University
Human Resources
Annuitant Tuition Waiver for University Courses
Eastern Illinois University retirees who retire under the State Universities Retirement System
may use this waiver for one course or three credit hours per semester at EIU, whichever is
greater. This form should be completed by the annuitant and approved by Benefit Services
before beginning coursework each semester. Failure to submit an approved waiver prior to the
beginning of course work each semester may result in the annuitant being held financially
responsible for the courses taken. If any changes should occur after this waiver has been
approved, a revised waiver must be submitted. Please notify the Benefit Services at
217-581-5825 or at benefits@eiu.edu of withdrawal from courses for which tuition and fees were
waived.
Annuitant Name: EIU E Number: E
(Please print or type)
Department/Organization: Email:
Request to take course in: Fall Spring Summer Year
Course: Credit Hours:
Course: Credit Hours:
Course: Credit Hours:
I hereby declare I am aware of the annuitant tuition waiver maximum utilization of one
course or three credit hours per semester, whichever is greater. I will be held financially
responsible for additional course work.
Annuitant: Date:
This waiver does not serve as an enrollment for the course(s). Please log into PAWS and
register for the course(s). Return this form to the Benefits Office, Room 2031, Old Main.
Approval Signature Required
Benefit Services: Date:
