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Click
here to get Adobe Acrobat Reader.
HR
Employee Forms
Flexible Spending Account Forms:
| Form Name | Available
Formats (Icon Legend) |
Form Descriptions |
|---|---|---|
| FSA Claim For Medical And Dependent Care Form | 
|
To submit a claim for your flexible spending account. |
| FSA Direct Deposit For Medical And Dependent Care Form | |
To establish direct deposits of flexible spending account payments. |
| UA Choice Supplemental Benefit Election Form - FY09 Open Enrollment | |
To add or delete employee selected benefits and/or deductions - i.e., FSA, AD&D, and other employee selected deductions such as accounts payable, parking, United Way, etc. (7/1/08-6/30/09). |
| UA Choice Supplemental Benefit Election Form - FY08 |
|
To add or delete employee selected benefits and/or deductions - i.e., FSA, AD&D, and other employee selected deductions such as accounts payable, parking, United Way, etc. (7/1/07-6/30/08). |
Please email
syhr about any problems with this page
21-Apr-2008
Photo credits: woman in field class and woman at Sitka campus photos courtesy of UAS; Mt. McKinley photo credit © Rex Melton,
Alaska Division of Tourism; flower photo credit Nile Mueller; aurora photo credit Jan Curtis 2003