Quick Links to Your Benefit Information & Associated Forms

 

Forms on this site may require one of the following to view, complete and print;

 

BENEFIT APPLICATION / OTHER
Accidental Death & Dismemberment AD & D Application
Benefit Summaries
     Classified
     Graduate Assistant
     Short-term Academic Staff
     Unclassified
NA




Dental Insurance Dental Application
Disability Benefits NA
Domestic Partner Information NA
EdVest NA
Employee Assistance Program NA
Employee Reimbursement Account ERA Application
EPIC Vision/Major Medical Insurance EPIC Application
Family & Medical Leave (FMLA) Related Forms
Income Continuation Insurance ICI Application
Individual & Family Term Life Insurance
Term Life Application (new employees)
     Evidence of Insurability  (current employees)
Leaves NA
Legal/Floating Holidays NA
Long-Term Care Long-Term Care
Parking Fees & Bus Passes NA
Personal Holidays NA
Retiree Health Insurance Credits NA
Sabbatical NA
Sick Leave NA
State Group Health Insurance
     2010 Insurance Information
     Dependent Eligibility
Health Ins Application/Change Form


State Group Life Insurance
State Group Life Application  (new employees)
     Evidence of Insurability  (current employees)
Tax Sheltered Annuity Salary Reduction Agreement
Unemployment Insurance NA
University Insurance Association Plan (unclassified staff only) No application required
UW Employees Term Life Insurance

Term Life Application
     Term Life Beneficiary form
Vacation NA
Vision Insurance Vision Ins Application
Wisconsin Deferred Compensation Salary Reduction Agreement
Wisconsin Retirement System Beneficiary Designation
Worker's Compensation Worker's Comp Forms & Info