• 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)
• MetLIfe Enrollment Change Form
• Web Forms
• Personal Information Form (State Pension P-1)
• 2010 Summer Income Election Form
• Medical Insurance Waiver Form
• Paystub View

• 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)