Forms
Benefit Forms
- Medical Enrollment Form
- Dental Enrollment Form
- Vision Enrollment Form
- Flexible Spending Account Enrollment Form
- Flexible Spending Reimbursement Form
- Group Benefits Enrollment Form
- Group Benefits Change Form
- Health Saving Plan Enrollment Form
- Life Evidence of Insurability Form
- Salary Deferral Agreement-UA
- Retirement TIAA-CREF Beneficiary Change Form
- Retirement Fidelity Investments Beneficiary Change Form
- Pharmacy Appeal Form
- Medical Appeal Form
- Catastrophic Leave Form
- Catastrophic Physician’s Certification Form
- Family Medical Leave Request Form
New Employee
Payroll Forms
- Direct Deposit Authorization Form
- Direct Deposit (Secondary) Form
- Payroll Deduction Authorization
General Forms
- Accommodations Process for Faculty and Staff with Disabilities
- Concurrent Employment Form (Internal)
- Employee Accommodation Request Form
- Grievance Form
- Tuition Waiver Form – Spouse-Dependent