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  • UD Home

Office of Human Resources: Forms

NOTE: The PDF forms listed here require Adobe Acrobat Reader in order to view or print. To download Adobe Acrobat Reader, visit the UDeploy website for Windows or Macintosh.

Classification Forms
  • Request for Classification of a Professional Staff Position
  • Request for Classification of a Salaried Staff Position

Educational Benefits Forms

  • Course Fee Waiver (PDF Format)
  • Delaware Cooperative Tuition Exchange (PDF Format)
  • Delaware Student Fee Privilege (PDF Format)
  • Tuition Exchange Program Application Form
  • Tuition Remission Program (Web form)

Life Event Forms

  • Benefit Continuation Notification unpaid Leave of Absence Form
  • Family Status and Benefits Change Form (PDF Format)

Medical and Vision Forms

  • Additional Information for Medical Coverage Change (PDF Format)
  • Blue Cross Blue Shield Dependent Coordination of Benefits Form (PDF Format)
  • Blue Cross Blue Shield Student Certification (PDF Format)
  • Medco Mail Order Form (PDF Format)
  • Medco Prescription Fax Form to submit prescriptions by fax(PDF Format)
  • Spousal Coordination Form (Online version)
  • Spousal Coordination Form (PDF Format)
  • Superior Vision Enrollment Form (PDF Format)

Other Forms

  • Blood Bank Enrollment Form
  • Life Insurance Beneficiary Designation (PDF Format)
  • Web Forms
  • 2008 Summer Income Election Form

Payroll Forms
  • Graduate Student Emergency Loan Deduction Form
  • Social Security Card Application (PDF Format)
  • W-2 Reprint Request Form

 

Performance Appraisal Forms

  • Faculty
  • Performance Improvement Plan form
  • Professional and Salaried Staff

Recruitment and Advertisement Forms

  • Advertising Request
  • Job Application (UD Employees Only)
  • Reference Check Form

Reimbursement/Claim Forms

  • Aetna Claim Form (PDF Format)
  • Blue Cross Blue Shield Claim Form (PDF Format)
  • Ceridian Dependent Care FSA Reimbursement Form
  • Ceridian Health Care FSA Reimbursement Form
  • Medco Direct ClaimForm/Coordination of Benefits for Secondary Coverage (PDF Format)
  • Met Life Dental Claim Form
  • Superior Vision Claim Form (PDF Format)

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

Systems Administration Forms

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




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University of Delaware
  • University of Delaware • Newark, DE 19716 • USA • Phone: (302) 831-2171 • © 2009
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