Medical

Kaiser

• Emergency Medical Claim form
• HIPAA Authorization form

Health Care and Dependent Care Flexible Spending Accounts (FSA)

• Healthcare FSA Claim form
• Dependent Care FSA Claim form

Retirement

403(b) Plan

• USD Salary Reduction Agreement - 2013

Fidelity

• Fidelity Enrollment Guide
• Fidelity 403b Enrollment form
• Fidelity Transfer Rollover form and Instruction

TIAA-CREF

• Enrollment form (USD contributions)
• Enrollment form (Voluntary employee contributions)
• Designation of Beneficiary form
• Instructions for Address Change
• Transfer or Rollover Authorization form

DWS – Scudder

• Final Distribution form
• In-Service Distribution form
• Loan Payoff

Tuition Remission

• Tuition Remission Guide