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Benefits Forms...


Chard-Snyder Medical Reimbursement Form

Family and Medical Leave Request Form

FMLA Physician Certification

Job Task Bank Form

Long Term Disability Forms

Eligibility Determination Form for Shared Medical Leave

Medical Leave Bank Donor Form

Salary Reduction Agreement Form

NOTE:  Effective dates beyond  July 1, 2008 will not be made by using this Salary Reduction Agreement.  Changes effective August 1, 2008 or later must be made  on-line with Retirement Manager in order to be considered effective.

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Tuition Waiver Form for Employees

Tuition Waiver Form for Employees
Attending Other KY Institutions

Tuition Discount Form for Dependent Children
Tuition Discount Form for Spouses of Employees
Tuition Discount Form for Part-Time Faculty