The University of Toledo : Benefit Forms

Welcome

Benefit Forms

Main Campus	Health Science Campus
Fee Waivers	403(b)
Questionnaire for Dependent Children	403(b) Summary

	Dental
Flexible Spending	Delta Dental Plan Overview
Flexible Spending Enrollment	Dental Enrollment Form
Flexible Spending Claim Form	Delta Dental Website


Health Care	Flex Spending Account
Prescription Reimbursement	Flexible Spending Account Enrollment Form
Health Care Enrollment	Flexible Spending Claim Form
Life Insurance Beneficiary
	General Benefits
	Important Benefit Contact Information
Retirement	Benefit Documentation Requirements
Retirement Plan Election	Spousal Healthcare Eligibility Affidavit
Tax Deferred Annuity	Dependent Verification Affidavit
	Monthly Premium Sheet

Working Spouse	Retirement Plan
Working Spouse Employer Form	Retirement Plan Election Form
Working Spouse Questionnaire
Working Spouse Provision	Holiday
	Holiday Schedule

Other Forms	Life Insurance
Accident Report	Life Insurance Overview
	Life Insurance Enrollment Form
	Beneficiary Change Form

	Pharmacy
	Pharmacy Enrollment Form

	Tuition
	Fee Waiver Process Flowchart
	HSC Tuition Waiver Form
	HSC Staff (non-faculty) and AFSCME Tuition Waiver Policy
	HSC Faculty Tuition Waiver Policy
	HSC Tuition Waiver FAQs
	Dependent Children Eligibility
	Domestic Partner Eligibility
	IRS Publication 501
	Eduction Reimbursement Declaration Form

	Vision
	Vision Enrollment Form

Page updated: July 16, 2008

UT Human Resources : Benefit Forms