Benefits

Benefits Forms

The following are forms regarding benefits. If you have any questions or need help completing any of the following forms, please contact your campus Human Resources department.


Aetna Dentist Selection Form
Electing ORP Procedures
ERS Policy for FMLA
ERS Multipurpose Form
Evidence of Insurability Form - ERS
Eye Med Enrollment Form
Family and Medical Leave Form
Medical Certification (Return to Work) Form
MedcoHealth Mail Order Form
ORP - TDA Agreement to Reduce Salary
ORP Transfer Form
PCP Selection Form
Request for Professional Development
Request for Vacation and Sick Leave
Retirement Election Form
SKIP Application
TDA Only - Agreement to Reduce Salary
TexFlex Enrollment Form
TexFlex Claim Form
Your Rights Under FMLA
Lone Star College System
5000 Research Forest Drive
The Woodlands TX 77381-4356
Phone 832.813.6500
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