UTSI HR Forms

Interactive pdf forms indicated by italics

Beneficiary Forms

• Designation of Beneficiary form (UT Employee Death Benefit)
• Basic Life Insurance
• Optional Special Accident
• Optional Life Insurance
• TCRS retirement
  • Selecting a TCRS beneficiary
  • TCRS-Beneficiary change member after 1981
  • TCRS-Beneficiary change member before 1981
•  ORP companies (ING, TIAA-CREF, VALIC)
• 401k beneficiary form
• 457 beneficiary form
• 403b companies (Ameriprise call 800-328-8300, Fidelity, ING, TIAA-CREF, VALIC)

Forms

• Employment Out-Processing Form
• Request to Search
• Personnel File Access and Disclosure Form
• Accident Reports
  • Employee
  • Supervisor
 
• Flexible Benefits Plan Claim Forms
  • Medical Expense Reimbursement
  • Dependent Care Reimbursement
• Educational Assistance
  • Request for student fee discount for spouse or dependent child
  • State Employee Fee Waiver (space available basis)
  • UTSI Employee Fee Waiver
• PDQ - Position Description Questionnaire
• IRIS Checklist
• UTSI Staff Training and Development Application Form and Guidelines
• Request for Additional Training Credit - HR 128