This is the SECA payroll deduction donation form for the calendar year of 2022. Only State of Illinois Employees can use this form to donate. Payroll deductions will begin in January of 2022.

Contact Information

Please provide at least one address.
OR

Payroll Contribution

I wish to contribute through SECA by payroll deductions the amounts shown below.
(A minimum of $2.00 per period is required to reduce administration cost.)

$
$
X
=
$