Adoption Assistance Claim Form

Please reference the plan document or overview of the Adoption Assistance Program and list of eligibile expenses for reimbursement when filling out the claim form.

Flex Change Form

This form is used to request a change in Health Care FSA or Dependent Care FSA. Return this completed, signed form to the University Benefits office within 30 days of a qualifying event (60 days for birth or adoption).

Unforseeable Emergency Form

Questions regarding this form? Please reference the FAQ document.