Documents by Office

Documents by Office

Documents by Office

Employee Benefits
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Accelerated Death Claim Form September 1, 2013
Tobacco Premium Program Declaration Form September 1, 2013
UTSaver TSA Disclosure Form September 1, 2013
Beneficiary Designation Form September 1, 2013
UT SELECT Medical Plan Guide with Prescription Drug Coverage September 1, 2013
UTSaver DCP - 457(b) Plan Document September 1, 2013
The PayFlex Card Flyer September 1, 2013
UT Benefits Billing Reference Guide September 1, 2013
Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program September 1, 2013
UT SELECT Medical Claim Form September 1, 2013
UT FLEX Claim Form September 1, 2013
Early Retiree Reinsurance Program (ERRP) Notice and Q&As September 1, 2013
Long-Term Care Highlights September 1, 2013
HIPAA Notice of Privacy Practices September 1, 2013
Long-Term Care Enrollment Form for new employees September 1, 2013
Short-Term Disability Benefits Guide September 1, 2013
Long-Term Disability Benefit Highlights September 1, 2013
UT SELECT DENTAL Benefits Guide 2013-2014 September 1, 2013
Superior Vision Plus Benefits Guide September 1, 2013
Retirement Eligibility Tool September 1, 2013
Long-Term Disability Conversion Kit September 1, 2013
UT Benefits Handbook for Employees September 1, 2013
ORP Authorization for Reduction for Employee Contribution September 1, 2013
Recommend Your Dentist September 1, 2013
Filing Your STD Claim September 1, 2013
Vesting/Termination Status Form September 1, 2013
DeltaCare - Getting the Most from Your Dental HMO September 1, 2013
Life Benefit Highlights for Retired Employees September 1, 2013
UT SELECT DENTAL Claim Form September 1, 2013
Life Portability Application September 1, 2013
Voluntary Retirement Programs Transfer Verification Form September 1, 2013
Accidental Dismemberment Claim Form September 1, 2013
Purchase/Change form for TSA (Traditional or Roth)-ORP changes September 1, 2013
Create Your Own Will Online September 1, 2013
Helpful Hints for Completing the Direct Payment Agreement September 1, 2013
DCP Catch-Up Provision Agreement September 1, 2013
UT SELECT DENTAL Highlights September 1, 2013
Flexible Spending Accounts (FSA) Flyer September 1, 2013
UT System Cafeteria Plan Document September 1, 2013
UT SELECT Tobacco Cessation Program September 1, 2013
UT FLEX Direct Deposit Authorization Form September 1, 2013
Medicaid and the Children's Health Insurance Program (CHIP) Notice September 1, 2013
Reasons to Consider Long Term Care September 1, 2013
Long-Term Care Benefits Guide September 1, 2013
Long-Term Care Short Form Application for current employees and spouses September 1, 2013
Benefits Cost Worksheet for Employees September 1, 2013
LTD Employee Claim Form September 1, 2013
Optional Retirement Program (ORP) Plan Document September 1, 2013
SmileWaySM Wellness Program: Take the Challenge September 1, 2013
LTD Conversion Calculator September 1, 2013
ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE September 1, 2013
Delta Dental Online Services September 1, 2013
Accidental Death & Dismemberment Benefits Guide September 1, 2013
DeltaCare Highlights September 1, 2013
Portability and Conversion of Life Insurance September 1, 2013
UT SELECT DENTAL - Getting the Most from Your DPO Network September 1, 2013
Death Claim Form September 1, 2013
UTSaver TSA - 403(b) Plan Document September 1, 2013
Section 4.11: Obtaining and Relying Upon an Authorization September 23, 2013
Section 7.8: Right to Breach Notifications September 23, 2013
HIPAA Request for Amendment of Protected Health Information September 23, 2013
System Audit
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UTPA Laptop Encryption Audit September 3, 2013
UTPA College of Engineering and Computer Science Audit September 3, 2013
UTPA Police Department Audit September 3, 2013
UT Austin Department of Middle Eastern Studies Change in Management Audit September 11, 2013
UT Austin Department of Finance Change in Management Audit September 11, 2013
UT Austin UT Elementary School Change in Management Audit September 11, 2013
UT Austin Department of Electrical and Computer Engineering September 11, 2013
UT Austin Department of Anthropology Change in Management Audit September 11, 2013
UT Austin Department of Accounting Change in Management Audit September 11, 2013
UT Austin IT Governance Audit September 16, 2013
UT Austin Department of Special Education Change in Management Audit September 17, 2013
UT Austin University Health Services Change in Management Audit September 17, 2013
UTA Executive Travel and Entertainment Expense Audit September 18, 2013
UTD Office of Procurement Management Audit September 19, 2013
UTD Center for Space Studies Audit September 19, 2013
UTD Audit of Purchasing September 19, 2013
UTD Center for Vital Longevity Audit September 19, 2013
Risk Management
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ACORD Automobile Loss Notice September 6, 2013
General Counsel
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Non-Disclosure Agreement September 20, 2013
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