Quick Links to Your Benefit Information & Associated Forms

Forms on this site may require one of the following to view, complete and print;

BENEFIT	APPLICATION / OTHER
Accidental Death & Dismemberment	AD & D Application
Benefit Summaries Classified Graduate Assistant Short-term Academic Staff Unclassified	NA
Dental Insurance	Dental Application
Disability Benefits	NA
Domestic Partner Information	NA
EdVest	NA
Employee Assistance Program	NA
Employee Reimbursement Account	ERA Application
EPIC Vision/Major Medical Insurance	EPIC Application
Family & Medical Leave (FMLA)	Related Forms
Income Continuation Insurance	ICI Application
Individual & Family Term Life Insurance	Term Life Application (new employees) Evidence of Insurability (current employees)
Leaves	NA
Legal/Floating Holidays	NA
Long-Term Care	Long-Term Care
Parking Fees & Bus Passes	NA
Personal Holidays	NA
Retiree Health Insurance Credits	NA
Sabbatical	NA
Sick Leave	NA
State Group Health Insurance 2010 Insurance Information Dependent Eligibility	Health Ins Application/Change Form
State Group Life Insurance	State Group Life Application (new employees) Evidence of Insurability (current employees)
Tax Sheltered Annuity	Salary Reduction Agreement
Unemployment Insurance	NA
University Insurance Association Plan	(unclassified staff only) No application required
UW Employees Term Life Insurance	Term Life Application Term Life Beneficiary form
Vacation	NA
Vision Insurance	Vision Ins Application
Wisconsin Deferred Compensation	Salary Reduction Agreement
Wisconsin Retirement System	Beneficiary Designation
Worker's Compensation	Worker's Comp Forms & Info