Long Term Disability Waiver of Waiting Period
State employee applies to waive waiting period for long-term disability.
Download the Form
Completing the PDF Form
- Read through all pages of the document to find specific instructions, if any
- Enter requested information into the form
- Print the form
- Get required signatures
- Scan a copy of the signed form for your records
- Send the original, completed, signed form to:
Human Resources
120 Crofts Hall
North Campus
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Form Facts
Form Type: Downloadable, PDF document
Requirements: Adobe Reader
Updated: October 2012
Owner: Human Resources