• People
  • Maps
  • A-Z Index
  • Home
  • Benefits Eligibility
  • Benefit Plans
    • Health
      • Notice of Creditable Coverage-Medicare D
      • Plan Documents
        • First State Basic (BCBSDE)
        • Aetna CDH Gold
        • BCBSDE CDH Gold
        • Aetna HMO
        • BlueCare HMO
        • Comprehensive PPO
    • Prescription Drugs
    • Dental Insurance
    • Vision
    • Disability
    • Life Insurance
    • Civil Union and Equality Act
  • Education Benefits
    • Tuition Remission
    • Course Fee Waiver
    • Tuition Exchange
    • Cooperative Tuition Exchange
  • Retirement Income
    • State Pension Plan
    • University 403(b) Retirement Plan
    • Voluntary 403(b) Retirement Plan
    • Voluntary 457(b) Deferred Compensation Plan
  • Statutory Benefits
    • Social Security
    • Unemployment Compensation Insurance
    • Worker's Compensation
  • Voluntary Benefits
    • 529 College Savings Plan
    • Flexible Spending Accounts (FSA)
    • Auto and Homeowner Insurance
    • Child & Elder Care Resources
    • Group Long-Term Care Insurance
    • Home Purchase Assistance Program
    • Life Insurance
      • Dependent Life Insurance
      • Optional Life Insurance
    • Mass Transit & Parking Programs
    • Neighborhood Mortgage Assistance Program
  • Time Away From Work
    • Bereavement
    • Family and Medical Leave
    • Holidays
    • Medical Leave
    • Military Leave
    • Parental Leave
    • Sick Leave
    • Vacation
  • Retiree Benefits
  • Benefit FAQ's
  • Resources
    • Staff Directory
    • Benefit Providers
      • Privacy Notices
      • Provider Directory
    • Policies
      • Administration
      • Facilities
      • Financial
      • Personnel
      • Procurement & Auxiliary Services
      • Research
      • Safety & Security
    • Related Websites
    • HR Personal Access
    • UD Webforms
  • Forms
  • Contact Us

Human Resources Forms


NOTE: Most forms require Adobe Acrobat Reader in order to view or print.

Classification Forms
  • Request for Classification

Educational Benefits Forms

  • Course Fee Waiver
  • Delaware Cooperative Tuition Exchange
  • Delaware Student Fee Privilege
  • Tuition Exchange Program Application Form
  • Tuition Remission Program

Life Event Forms

  • Benefit Continuation Notification unpaid Leave of Absence Form
  • Family Status and Benefits Change Form

Medical and Vision Forms

  • Additional Information for Medical Coverage Change
  • Adult Dependent Coordination of Benefits Form
  • Aetna Dependent Coordination of Benefits Form
  • Blue Cross Blue Shield Dependent Coordination of Benefits Form
  • Blue Cross Blue Shield Student Certification
  • Medco Mail Order Form
  • Spousal Coordination Form
  • Superior Vision Enrollment Form

Other Forms

  • Benefits Enrollment Worksheet
  • Blood Bank Enrollment Form
  • Life Insurance Beneficiary Designation
    • Hartford Life (through June 30, 2012, only)
    • MetLife (effective July 1, 2012)
  • Web Forms
  • Personal Information Form (State Pension P-1)
  • 2010 Summer Income Election Form
  • Medical Insurance Waiver Form
  • Paystub View

Payroll Forms
  • International Service Fee - Department Payment Authorization
  • International Service Fee - Payroll Deduction Authorization
  • Graduate Student Emergency Loan Deduction Form
  • Same-Sex Domestic Partner Health Stipend Reimbursement & Certification Form
  • Social Security Card Application
  • W-2 Reprint Request Form

Performance Appraisal Forms

  • Faculty
  • Online Performance Appraisal System
  • Performance Improvement Plan form

Recruitment and Advertisement Forms

  • Advertising Request
  • Reference Check Form

Reimbursement/Claim Forms

  • Dental - Met Life Claim Form
  • Flexible Spending - ASIFlex Benny Card FAQ and Card Application
  • Flexible Spending - ASIFlex Claim Form
  • Flexible Spending - ASIFlexDirect Deposit Authorization Form (for ASIFlex's reimbursement to your bank account)
  • Medical - Aetna Claim Form
  • Medical - Blue Cross Blue Shield Claim Form
  • Medical - Medco Direct ClaimForm/Coordination of Benefits for Secondary Coverage
  • Medical - Same-Sex Domestic Partner Health Stipend Reimbursement & Certification Form
  • Vision:
    • Superior Claim Form (through June 30, 2012, only)
    • NVA Claim Form (effective July 1, 2012)

Retirement/Savings Forms

  • 403(b) Salary Reduction Agreement (Primary Retirement Plan)
  • 403(b) Salary Reduction Agreement (State Pension Plan Primary Retirement Plan)
  • 457(b) Salary Deferral Agreement
  • 403(b) Retirement Plan at a Glance (Primary Retirement Plan)
  • 403(b) Retirement Plan at a Glance (State Pension Plan Primary Retirement Plan)
  • 457(b) Retirement Plan at a Glance
  • Fidelity 403(b) Beneficiary Change Form
  • Fidelity 457(b) Beneficiary Change Form
  • TIAA-CREF 403(b) & 457(b) Beneficiary Change Form
  • Fidelity - Updating Personal Information
  • TIAA-CREF - Updating Personal Information
  • TIAA-CREF & Fidelity Investments Contact Information

Records Management Forms

  • Bayh-Dole Act Documents
  • Hiring Notification for Criminal Background Checks
  • HR-IT Request
  • HR Liaison Request
  • HR NewHire JED Employee Information Sheet
  • I-9 Form - FAQ
  • Request for Off Cycle Pay Check
  • On-Boarding Department Data Form
  • Position Change Support Documentation
  • Separation Checklist
  • Supervisor Request
  • Support Documentation
  • Training Request
  • Verification of VISA for Payroll and Systems Adminstration (non-payment status)



University of Delaware
  • University of Delaware   •   Newark, DE 19716   •   USA
    Phone: (302) 831-2171   •   © 2011
  • Comments
  • Contact Us
  • Legal Notices