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Main navigation

  • Home
  • About Us
    • About Us Overview
    • Our People
    • Consultant Client Groups
    • Payroll Client Groups
  • New to UTSC
  • Payroll and Benefits
    • Payroll Benefits Overview
    • Payroll Forms
    • Work Study Program
      • Set-Up Forms
      • Timesheets & Deadlines
    • Benefits Forms
    • Educational Benefits & Professional Development Forms
    • Health & Safety Forms
  • Training and Development
    • Learning Management System (LMS)
    • Upcoming Training & Development Events
    • Elev8 Program
    • LEAD Program
    • Centre for Learning Leadership & Culture (LLC)
    • Family Care Office Events
    • School of Continuing Studies
    • Bring Our Children to Work Day
  • Resources
    • Resources for Managers & Supervisors
    • General Resources
  • Awards & Recognition
    • Awards
    • UTSC Principal's Service Excellence Awards
    • Campus Awards
    • Research Awards
    • Teaching Awards
    • Selection Committees for the Awards
  • Current Employment Opportunities
  • Contact Us
  • Feeling Distressed?
  • UCheck
  • Acorn
  • Quercus
  • A-Z Listing
  • Webmail
  • O365 Mail
  • Academic Calendar
  • Intranet
  • Library
  • People Directory
Human Resource Services
  1. Home
  2. Payroll and Benefits
  3. Benefits Forms

Benefits Forms

For benefit enrollments or changes, please contact your appropriate Payroll & Benefits Administrator for more information. 

For additional Benefits-related forms, please visit the HR Service Centre. 
 

Benefits Enrolment/ Change Form
Child Care Benefit Plan
CUPE 3902 - Unit 3 Health Care Spending Account Enrolment/Change Form
Green Shield Coverage for Over-Age Dependant(s)
Green Shield Dental Claim Form
Green Shield Drug/General Claim Submission Form
Green Shield Drug/General Claim Submission Form
Green Shield Emergency Medical Expense and Hospitalization Claim Submission For…
Green Shield Health Care Spending Account Claim Submission Form
Green Shield Vision Care Claim Form
Joint Membership Plan Election Form
Notice of Intent to Retire (Staff)
Professional Managers 6-9 Health Care Spending Account Enrolment or Change Form
UPP Spousal Information and Beneficiary Designation Change Form
 
 
 
 
 
 
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I (we) wish to acknowledge this land on which the University of Toronto operates. For thousands of years it has been the traditional land of the Huron-Wendat, the Seneca, and the Mississaugas of the Credit. Today, this meeting place is still the home to many Indigenous people from across Turtle Island and we are grateful to have the opportunity to work on this land. Statement of Acknowledgement of Traditional Land

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