Benefits Forms
Benefits Forms
Forms that are specific to ¶¶Òõ¶ÌÊÓƵ or frequently accessed forms are located on this page. Policies and procedures are locate in the ¶¶Òõ¶ÌÊÓƵ Policy Manual. Additional forms, policies and procedures can be found on the:
Address or Name Change
Refer to Life Events web page for addition changes that affect benefits and payroll.
Retirement, Investment & Savings Programs
Refer to .
- (UNC System website)
- Checklist for ORP Retirement (Word)
- Checklist for TSERS Retirement (Word)
- Phased Retirement Benefits for Tenured Faculty (PDF)
Health, Welfare & Survivor Programs
Refer to the Benefits Plans web page.
- ¶¶Òõ¶ÌÊÓƵ Fitness Center membership for employees
- (Dental, Vision, Critical Illness, Cancer & Specified Disease, Flexible Spending Accounts, TRICARE Supplement
- 1095-C Information
- 1095-C Copy Request and Delivery Consent Form
Supplemental Disability Programs
On the , are voluntary supplemental disability plans, rate sheets and a video for NC Teachers' and State Employees' Retirement System (TSERS) and for UNC Optional Retirement Program (ORP) participants. Plan and form information such as Enrollment/Cancellation Form, Evidence of Insurability, Certificate of Insurance, Notice of Information and calculating your monthly disability premium.
Leave Policies & Forms
Refer to Leave & Holiday Time.
- (NC OSHR website)
- (NC OSHR website)
- (NC OSHR website)
- Faculty Serious Illness and Disability (UNC System website)
- (Dept of Labor form)
- (Dept. of Labor form)
- (NC OSHR website)
Educational Benefits
Refer to Tuition & Education Resources.
- (NC OSHR website)
- (NC OSHR website)
- Employee discount policy for ¶¶Òõ¶ÌÊÓƵ summer & community programs
- (UNC System)
- (UNC System)
- Tuition Waiver Form for Faculty & Staff