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Duke Human Resources
705 Broad Street
Box 90496
Durham, NC 27705
(919) 684-5600
705 Broad Street
Box 90496
Durham, NC 27705
(919) 684-5600
Benefits Forms
Printer Friendly- Dental Insurance Forms
- Ameritas Group Dental Claim Form
- Health, Dental, and Vision Care Enrollment Form
- Disability Forms
- Hartford Personal Health Statement
- Voluntary Disability Enrollment Form
- Educational Benefit Forms
- Duke University Children's Tuition Grant Program Application
- Educational Assistance Certification Form
- Health Insurance Forms
- Health, Dental, and Vision Care Enrollment Form
- Health Claim Form - BlueCross BlueShield
- Health Claim Form - WellPath Select
- Merck-Medco Claim Form
- Merck-Medco Mail Order Form
- Life Insurance Forms
- Basic Life Insurance Beneficiary Designation Form
- Personal Accident Insurance - Enrollment/Beneficiary Form
- Supplemental Life Insurance Customer Service Request Form
- Supplemental Life Insurance Enrollment Form
- Universal Life Insurance Application for Payroll Deduction
- Reimbursement Account Forms
- Reimbursement Accounts Enrollment Form
- Duke Reimbursement Accounts Claim Form
- Reimbursement Account Direct Deposit Authorization Form
- Retirement Forms
- Retirement Plan Enrollment Kit
- Retirement Plan Contribution Change Form (Biweekly Employees)
- Retirement Plan Contribution Change Form (Monthly Employees)
- Request for Benefits Estimate - Employees' Retirement Plan
- AIG VALIC Enrollment Application
- Fidelity Enrollment Application
- Scudder Enrollment Application
- TIAA-CREF Enrollment Application
- Vanguard Enrollment Application
- Same-Sex Spousal Equivalent Forms
- Affidavit of Same-Sex Spousal Equivalent Relationship Form
- Vision Care Benefit Forms
- Health, Dental, and Vision Care Enrollment Form
- Duke Vision Plan Claim Form (for out-of-network providers)
- Additional Forms
- Benefits Forms
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