Administrative Services

Health Insurance & Other Benefits

• Allegiance Medical Claim form [PDF]
• Blue Cross Blue Shield Managed Care Claim form (contact Blue Cross customer service)
• Delta Dental Claim form [PDF]
• Flex
• Life Insurance Application
• Life Insurance Evidence of Insurability [electronic submission]
• Life Insurance Evidence of Insurability [PDF paper submission]
• Life Insurance Beneficiary Change [PDF]
• LTD Application [PDF]
• Pharmacy Plan
• Portability of Life Insurance Application [PDF]
• Vision Out-of-Network Provider Claim [PDF]

Human Resources

• Consulting Form [PDF]
• Leave Approval Form [PDF]
• Staff Compensation
• Staff Evaluation [word doc]
• Payroll Forms
• Personnel Action Form (PAF) [PDF]
• Pro Card [external site]
• Procard Guidelines [PDF]
• Purchasing
• Tax Deferred Annuity Program-406 (b) Salary Reduction [word doc]
• Workers Compensation Forms

Recruitment

• Search Check List
• PRA
• Applicant Screening Matrix
• Employment Background Check [PDF]

Travel

• Travel Authorization Form [excel]
• Travel Expense Form [excel]
• Personal Vehicle Use Authorization Form [PDF]

Student or Visitor Related

• Tuition Waivers (for employees or dependents)
• Student/Visitor Injury Form