Office of Human Resources: Employee Benefits Forms

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Employee Benefits Forms

Below are links to some of our most requested benefits forms. If there is a form you need that is not listed here, contact the Office of Human Resources.


Alternative Retirement Plan Forms

Long-Term Disability Insurance Forms

Deferred Compensation Plan Forms

Family and Medical Leave Act Forms

Flexible Spending Account Forms

Health Insurance Forms for Faculty, Managers, Nurses, Coaches and Police Officers

Health Insurance Forms for AFSCME and SCUPA

Group Life Insurance Forms

SERS Forms

Tax-Sheltered Annuity Forms

Tuition Waiver Forms

Faculty Health and Welfare Fund

  • Faculty Dental and Vision information may be found at PAFAC website.

Voluntary Group Life/AD&D Forms

Empower Retirement (Formally known as Great West)

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