Related Forms - Benefits
Visit the VCU Human Resources forms page for a full list of forms (by category).
Healthcare and wellness forms
Blue Card Blue Shield Global Core International claim
Blue View Vision Out-of-Network claim
Employee health documentation request (Word)
Flexible Spending Account (FSA) claim form (health care & dependent care)
Health benefits and flexible spending enrollment
Health insurance program appeal
Retirement forms
Deferred Compensation VRS Retirement One Time Deferral (PDF)
Election of retirement plan (PDF)
Employee certification form for purchase of VRS service credit (PDF)
Optional Retirement Plan Document (PDF)
Optional Retirement Plan (ORP) Election/VRS Substitute (PDF)
Post offer self identification (PDF)
TDA automatic enroll opt out (Word)