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Forms & Publications

Welcome to the Benefits Forms page!

All Enrollment Benefit Forms need to be submitted using AdobeSign.

Below you will find forms that pertain to Health Benefits, Flexcash, Parking, Voluntary Benefits, the Fee Waiver, Family & Medical Leave, Catastrophic Leave, Nonindustrial Disability and Pregnancy Disability. Click on the Benefits, Fee Waiver or Leaves heading to view a full list of forms for that section.
Please feel free to contact our department at (559) 278.2032, if you are unable to locate a Benefit form you need!

Medical Leave Request - Faculty, Staff & MPP - Please contact the Leave Coordinator for Medical Leave Request form
Non-Medical Leave Request - Staff & MPP - Please contact the Leave Coordinator for Non-Medical Leave Request form

Family and Medical Leave (FMLA) Catastrophic Leave Donation Program (CLDP)