Benefits Forms

Benefit

Form

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Leave Benefits (FMLA - 12 Month)

Paper Form:

Online Form:

Leave Benefits (FMLA - 9 Month Faculty)

Must complete both forms below:

Leave Benefits (Non FMLA - 9 Month Faculty) Request for Leave of Absence (9 month Faculty AA-32)
Leave Benefits (Voluntary Shared Leave)

Application:

Donation

Leave Benefits

Leave without Pay Application

 
Leave Benefits
 

NCFlex

Accidental Death and Dismemberment Forms

Cancer Insurance Forms

Critical Illness Insurance Forms

Dental Forms

Flexible Spending Account Forms

Group Term Life Forms

Vision Forms

Prior Service 

Prior Creditable State Service Verification Form

Retirement

Optional Retirement Plan Forms

Teachers' and State Employees' Retirement System Forms

Separation

Employee Separation Form

Partial Separations - reference the separations webpage for instruction