University of Delaware Human Resources

HR Forms

Classification & Compensation
Request for Classification
Educational Benefits
Course Fee Waiver DTCC Tuition Waiver Exchange Application Lottery Application Delaware Cooperative Tuition Exchange Delaware Student Fee Privilege Tuition Exchange Program Application Form Tuition Remission Program
HRIS
HRIS Request
Life Events
Benefit Continuation Notification unpaid Leave of Absence Form Family Status and Benefits Change Form
Medical and Vision
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 Certification of Tax Dependent Status for Civil Union Spouse/Children Medco Mail Order Form Spousal Coordination Form
Other
New Hire Benefits Enrollment Checklist Benefits Enrollment Worksheet Blood Bank Enrollment Form Life Insurance Beneficiary Designation MetLife Enrollment Change Form Web Forms Personal Information Form (State Pension P-1) Medical Insurance Waiver Form
Payroll
I-9 Form International Service Fee - Department Payment Authorization International Service Fee - Payroll Deduction Authorization Paystub View Social Security Card Application W-2 Reprint Request Form
Performance Appraisal
Faculty Online Performance Appraisal System Performance Improvement Plan form
Records Management
Bayh-Dole Act Documents Hiring Notification for Criminal Background Checks HR Liaison Request HR NewHire JED Employee Information Sheet I-9 Form (also see I-9 FAQ) Request for Off Cycle Pay Check On-Boarding Department Data Form Position Change Support Documentation Record Removal / Review Form Separation Checklist Supervisor Request Support Documentation Training Request Verification of VISA for Payroll and Systems Adminstration (non-payment status)
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 Medical - Aetna Claim Form Medical - Blue Cross Blue Shield Claim Form Medical - Medco Direct ClaimForm/Coordination of Benefits for Secondary Coverage Vision - NVA Claim Form
Retirement/Savings
403(b) Salary Reduction Agreement (Primary Retirement Plan) 403(b) Retirement Plan at a Glance (Primary Retirement Plan) 403(b) Salary Reduction Agreement (State Pension Plan Primary Retirement Plan) 403(b) Retirement Plan at a Glance (State Pension Plan Primary Retirement Plan) 457(b) Salary Deferral Agreement 457(b) Retirement Plan at a Glance Fidelity 403(b) Beneficiary Change Form Fidelity 457(b) Beneficiary Change Form Fidelity - Updating Personal Information TIAA-CREF 403(b) & 457(b) Beneficiary Change Form TIAA-CREF - Updating Personal Information TIAA-CREF & Fidelity Investments Contact Information