Boise State University Human Resource Services - Benefits
Benefits Forms
All forms here are in PDF format. To get a current copy of the Adobe Acrobat Reader, for any platform, go to the Reader home page.
- Basic & Supplemental Life Insurance Enrollment Form
- Beneficiary Designation Form for Minors
- Exercise Release Form
- Fee Waiver
- Health Insurance Enrollment Form - Blue Cross
- Idaho Flexible Spending Claim Form
- Outstanding Debts Authorization and Confidentiality Statement
- PERSI: Beneficiary Designation and/or Member Name Change (RS - 115)
- PERSI:Request for Base Plan Account Withdrawal (RS - 108)
- Retirees: Blue Cross Enrollment Application
- Salary Reduction Agreements:
- 403(b) (PDF)
- 403(b) Roth (PDF)
- 457(b) (PDF)
- 401 (k) Persi Choice (PDF, off-campus page)
- Shared Leave Donation
- Shared Leave Request Form
- VSP Reimbursement Form