General

• Household Member Enrollment Form
• Priority Health Medical Reimbursement Form

Prescription

• Caremark Mail Order Prescription Form
• Caremark Prescription Reimbursement Form

Dental

• Delta Dental Claim Form

Health Savings Account (HSA)

• HSA Contribution Form

Flexible Spending Account (FSA)

• Flexible Spending Account Reimbursement Form
• How To File A Claim
• FSA Worksheet

• Allocation of University Retirement Contributions (Hourly)
• Allocation of University Retirement Contributions (Salaried)
• Beneficiary Designation for Death Benefit (Hourly staff only)

• Supplemental Life Insurance Beneficiary Change Form
• Life Insurance Conversion Form
• Base Life Insurance Beneficiary Change Form

Adoption

• Adoption Assistance Request for Payment

Tuition

• Employee Academic Participation Form
• Tuition Reduction Form for Spouse and Dependent

Flexible Work Arrangement

• Flexible Work Arrangement

Family and Medical Leave Act (FMLA) and Leave Applications

• University Medical and FMLA Leave Application-Faculty/Salaried Staff (use for parental leave)
• University Medical and FMLA Leave Application-Hourly Staff (use for parental leave)
• Certification of Health Care Provider (Family)
• Certification of Qualifying Exigency (Military Family Leave)
• Certification of Serious Injury/Illness (Military/Current Service Member) 
• Certification of Serious Injury/Illness (Military Veteran)

Workers Compensation

• Workers' Compensation Injury Report