Forms
Secure Document Submission
Please use the Secure Document Submission Form to provide HR with important documents. Log-in with your Employee ID and password and follow the directions on the form.
The following forms are available in UD's Webforms system, PDFs or from vendor websites.
Benefits
Compensation
Life Events
Medical
- Additional Information for Medical Coverage Change
- Aetna Dependent Coordination of Benefits Form
- Highmark Delaware Coordination of Benefits Form
- Certification of Tax Dependent Status for Civil Union Spouse/Children
- CVS Caremark Home Delivery
- State of Delaware Spousal Coordination Form
- Double State Share Enrollment/Change Form
- Employee Waiver of Medical Insurance Form
- Application for Health Care Coverage – Special Medicfill (Medicare Supplement)
- Authorization for Payroll Deduction
- Balance Adjustment Form
- Home Purchase Assistance Program Form
- Honors Day Awards
- Off Cycle Pay Check Request
- Overpayment Form
- Public Service Loan Forgiveness Request
- Social Security Card Application
- Tax Forms
- Time Report Form
- W-2 Electronic Consent Form
- W-2 Reprint Request Form
International Employees
Webforms
- Additional Assignments
- Additional Tax Withheld
- Direct Deposit Form
- General Deduction Form
- Graduate Non-Contract Pay - use Supplemental Pay
- Graduate Non-Contract Pay Amendment
- S-Contract - use Supplemental Pay
- S-Contract Amendment
- Supplemental Pay
- Supplemental Pay Amendment
- W4 Form
Other Resources
Performance Management Process
Reimbursement / Claims
- CVS Caremark Prescription Drug Reimbursement
- Dental - Met Life Claim Form
- Direct Payment Authorization (ACH)
- Flexible Spending - ASIFlex Benny Card FAQ and Card Application
- Flexible Spending - ASIFlex Claim Form
- Flexible Spending - ASIFlexDirect Deposit Authorization Form
- Medical - Aetna Claim Form
- Medical - Highmark Delaware Claim Form
- Vision - NVA Claim Form
Retirement / Savings
- Course Fee Waiver (Web Forms: BEN Educational Benefits)
- DTCC Tuition Waiver Exchange Application Lottery Application
- Delaware Cooperative Tuition Exchange
- Tuition Exchange Program (Web Forms: BEN Educational Benefits)
- Tuition Remission (Web Forms: BEN Educational Benefits)
- Certification of Tax Dependent Status–Education
Systems & Records Management
Tuition Benefits
- Course Fee Waiver (Web Forms: BEN Educational Benefits)
- DTCC Tuition Waiver Exchange Application Lottery Application
- Delaware Cooperative Tuition Exchange
- Tuition Exchange Program (Web Forms: BEN Educational Benefits)
- Tuition Remission (Web Forms: BEN Educational Benefits)
- Certification of Tax Dependent Status–Education
Non-Benefited Onboarding
- Course Fee Waiver (Web Forms: BEN Educational Benefits)
- DTCC Tuition Waiver Exchange Application Lottery Application
- Delaware Cooperative Tuition Exchange
- Tuition Exchange Program (Web Forms: BEN Educational Benefits)
- Tuition Remission (Web Forms: BEN Educational Benefits)
- Certification of Tax Dependent Status–Education
- Additional Information for Medical Coverage Change
- Aetna Dependent Coordination of Benefits Form
- Highmark Delaware Coordination of Benefits Form
- Certification of Tax Dependent Status for Civil Union Spouse/Children
- CVS Caremark Home Delivery
- State of Delaware Spousal Coordination Form
- Double State Share Enrollment/Change Form
- Employee Waiver of Medical Insurance Form
- Application for Health Care Coverage – Special Medicfill (Medicare Supplement)
- Authorization for Payroll Deduction
- Balance Adjustment Form
- Home Purchase Assistance Program Form
- Honors Day Awards
- Off Cycle Pay Check Request
- Overpayment Form
- Public Service Loan Forgiveness Request
- Social Security Card Application
- Tax Forms
- Time Report Form
- W-2 Electronic Consent Form
- W-2 Reprint Request Form
International Employees
Webforms
- Additional Assignments
- Additional Tax Withheld
- Direct Deposit Form
- General Deduction Form
- Graduate Non-Contract Pay - use Supplemental Pay
- Graduate Non-Contract Pay Amendment
- S-Contract - use Supplemental Pay
- S-Contract Amendment
- Supplemental Pay
- Supplemental Pay Amendment
- W4 Form
Other Resources
- CVS Caremark Prescription Drug Reimbursement
- Dental - Met Life Claim Form
- Direct Payment Authorization (ACH)
- Flexible Spending - ASIFlex Benny Card FAQ and Card Application
- Flexible Spending - ASIFlex Claim Form
- Flexible Spending - ASIFlexDirect Deposit Authorization Form
- Medical - Aetna Claim Form
- Medical - Highmark Delaware Claim Form
- Vision - NVA Claim Form
