Benefits Word Forms

PDF Forms

Benefits Continuation During Leave of Absence, Layoff or Temporary Furlough
Benefits Eligibility
Catastrophic Leave Donation Form
Catastrophic Leave Request Form
Catastrophic Leave Sharing Policy Guidelines
Cobra Continuation Election
Cobra Continuation Election
DCP After-Tax Account Distribution
DCP After-Tax Payroll Deduction
DCP Pre-Tax Fund Designation
DCP and Tax Deferred 403(b) Plan
Dependant Care Reimbursement Request
Dependant Care/TIP Salary Reduction Agreement
Dependent Care Reimbursement Account (DepCare) Summary Plan Description
Designation of Beneficiary
Family and Medical Leave - Sample Follow-Up Letter
Family and Medical Leave Act of 1993-Your Rights and Obligations
Family and Medical Leave Benefits Checklist
Family and Medical Leave Certification
Family and Medical Leave Declaration of Relationship
Family and Medical Leave Department Checklist
Family and Medical Leave Leave Request
Family and Medical Leave Packet - Instructions
Family and Medical Leave Provisional Designation Letter
Family and Medical Leave Record of Reduced Work/Intermittent Leave Schedule for Exempt Employees
Family and Medical Leave Return to Work Certification
On-Line Enrollment, Change, Cancellation or Opt-Out
Personal Financial Information Organizer
Personal Identification Number.htm
Tax Deferred 403(b) Distribution After Break in Service
Tax Deferred 403(b) Distribution by Active Employee
Tax Deferred 403(b) Salary Reduction Agreement
UCRS Distribution Kit
UCRS Distribution Kit for Non-Exempt Student Employees