Eastern Michigan University
Human Resources
Develops, implements, counsels and enrolls all faculty and staff in specific benefit programs. Processes all benefit claims. Administers the employee tuition waiver program. Administers all University retirement programs and processes tax deferred annuity plans.
Forms
Benefits Forms (see all Forms)
- BASIC Flex Additional Debit Card Request Form
- BASIC Flex Reimbursement Form
- Blue Cross/Blue Shield International Claim Form
- Dependent Eligibility Verification FAQs
- Emeritus Application(Staff)
- Emeritus Application(Faculty)
- Employee Occupational Injury or Illness
- Instructions for Enrolling in 403(b) for Part-Time Employees
- MPSERS Retired Employee Approvals Form
- MPSERS Notice of Intent to Retire
- MPSERS Verification Form
- Retirement Party Expense Guidelines
- Retirement Party Form
- Request for Accommodation
- Salary Reduction Agreement (2013) - 457(b)
- Salary Reduction Agreement (2013) - 403(b)
- Stop SRA Form
- Tuition Waiver Agreement/Application for Employees
- Tuition Waiver Agreement/Application for Spouse/Dependents
- Vacation Accrual Guidelines
Leave of Absence
- Campus Leave Authorization form for Staff
- Department of Labor Medical Certification Form - Staff Member
- Department of Labor Medical Certification Form - Family Member
- Department of Labor Medical Certification Form - Service Member
- Department of Labor Medical Certification of Qualifying Exigency
- Department of Labor - Notice of Eligibility and Rights & Responsibilities
- Educational Leave of Absence Addendum
- Family Medical Leave Guidelines
- Fitness for Duty Report
- Flexible Spending Account (Health) Leave of Absence Form
- Leave of Absence Form - Staff
- Release of Medical Information Form
- Workers' Compensation Buy-Back Guidelines
- Workers' Compensation Buy-Back Request Form