Payroll and Staff Benefits
Benefits Forms
- Affidavit of Domestic Partnership
- Catastrophic Leave, Unclassified Donor Authorization Form
- Dental Application (for non-represented employees, faculty and academic staff)
- Election to Cancel Variable Participation
(exit UW-Extension) - Flexible Spending Account-Reimbursement Request Form
- Group Health Insurance Application/Change Form
(exit UW-Extension) - Individual and Family Group Term Life Insurance Application
(exit UW-Extension) - Individual and Family Group Term Life Insurance Brochure
(exit UW-Extension) - Individual and Family Group Term Life Insurance Evidence of Insurability
(exit UW-Extension) - Salary Reduction Agreement
(exit UW-Extension)