Forms
Note: Use the Expanded Long-Term Disability Application with Health Statement in the following circumstances:
- More than 30 days have passed since your hire date or date of eligibility and you wish to enroll
- You have two or more years of service and wish to increase your coverage over the coverage that is paid for by the university
Expanded Long-Term Disability Application with Health Statement eForm (downloadable form available)
Expanded Long-Term Disability Application eForm (downloadable form available)
Expanded Long-Term Disability Withdrawal eForm (downloadable form available)
Documents
Basic Long-Term Disability plan book (for AFSCME members only)