Forms

Important Note: Personal information that is recorded in a writable form from your computer may not be deleted by closing your browser or clicking the "back" button. To completely erase personal information from the temporary file stored on your computer, whenever available, be sure to click on the "Clear Form" button after the form is printed.

 

Benefit Forms

 

Employment Forms

 

Medical:

Premera info:

 

CIGNA:  Beginning 7/1/2013  NEW

Dental:

WDS Dental Claim Form

Vision:

VSP Vision Claim Form
Must contact VSP prior to use: 1-800-877-7195

 

Flexible Spending Accounts (FSAs):

For health and dependent care expenses

FSA's are administered by Benefit Administration Company (BAC)

Forms may be printed or filled-in online

 
 
 

 

Long Term Care Insurance:

Long Term Care - Evidence of Insurability

Additional Life and AD&D Insurance: NEW

 

 

 

 

 

 

 

Cigna Insurance Application
(Additional Voluntary Life & Accidental Death & Dismemberment)


Cigna Term Life Insurance Change form
(Additional Voluntary Life & Accidental Death & Dismemberment)

Cigna Beneficiary Designation form
(Additional Voluntary Life & Accidental Death & Dismemberment)

 

Instructions for Exempt Staff Leave reporting (Banner)

Instructions for Supervisor Leave approval (Banner)

 

SPU Staff and Faculty Application

Online Application

 

 

Staff Hiring Process Timeline for Managers

Staff Position Management

 

 

 

 

 

 

 

 

 

Staff Recruiting Process

 

 

 

 

 

 

 

 

New Staff Personnel Action Form (PAF)

 

 

New Hire Forms for Staff, Faculty and Adjuncts

 

 

Retirement Savings Forms
Performance Evaluation Forms
Other Forms

 

 

403(b) contribution changes may now be made online with Diversified at www.trsretire.com

 

 

Performance Evaluation Form

Business & Planning Employee Evaluation Form

Business & Planning Peer Evaluation Form

 

 

Employee Information Change Form (formerly Name/Address Change Form)

Leave of Absence (LOA) Request

Providing Non-Employees Access to Computer and Email Accounts, White Page Listing and Campus
ID Card