To submit a claim for your flexible spending
account.
FSA Direct
Deposit For Medical And Dependent Care Form
To establish direct deposit of your flexible spending
account payments.
Student
Enrollment Verification/Dependent Health Care Eligibility
To verify student enrollment and/or to notify
employees of dependent (child) health care coverage eligibility.
TDA Salary Reduction Agreement Form
To establish or change contributions to
a tax deferred annuity.
Tuition
Waiver Request Form (UAA)
For use by eligible employees to waive tuition costs
at UAA.
Tuition
Waiver Request Form (UAF)
For use by eligible employees to waive tuition costs
at UAF.
Tuition
Waiver Request Form (UAS)
For use by eligible employees to waive tuition costs
at UAS.
UA Choice 2008 Enrollment Guide
UA Choice 2008 Enrollment Guide.
UA
Choice Health Plan Enrollment Form (All Employees)
To enroll employee and dependents in UA health care plan.
UA
Choice Opt Out Form
To elect to opt out of UA health care coverage
and show proof of other insurance.
UA
Choice Supplemental Benefit Election Form
To add or delete employee selected benefits
and/or deductions - i.e., FSA, AD&D, and other employee selected
deductions such as accounts payable, parking, United Way, etc.
Wolfcard
Payroll Deduction Form (UAA Employees Only)
To request a payroll deduction to credit
your UAA Wolfcard.
