Employee Benefits Forms and Docs
2013 Flexible Benefit Enrollment Form
This form allows you to enroll in the Medical and/or Dependent Care Flexible Spending plan for the 2013 calendar year.
401(k) and 457(b) Enrollment Form
Used for new enrollments. 401k, 401k ROTH, 457
401(k) and 457(b) Personal Information Change Request
Used for name or address changes.
401(k) Incoming Direct Rollover Form
Used for making rollovers in to the 401(k) plan.
401(k) Investment Option Change Form
This form is used to update/change your current investment allocations.
401(k) Loan Application
Used to apply for an account reduction loan.
457(b) Beneficiary Designation Form
Used for naming or changing your 457(b) beneficiary.
457(b) Incoming Transfer/Direct Rollover Form
Used for making rollovers in to the 457 plan.
457(b) Investment Option Change Form
This form is used to update/change your investment allocations.
Basic Life Insurance Beneficiary Form
Used to update/change your basic life insurance beneficiary.
Long Term Disability Enrollment Form (Non-Exempt Employee)
Longevity - Bonus Payroll Reduction Form
Form to defer longevity or bonus pay into your 401K or 457b.
Medical/Dental/EyeMed Enrollment and Change Form
Used to enroll in state medical, dental, and EyeMed Vision insurance as a new hire, or with a qualifying event.
Optional Special Accident Enrollment/Change Form
Used to add/drop/update dependent eligibility, add/drop coverage, and to update beneficiary.
TCRS Member Information Change Form for Non-Retirees
Used for updating name and address.