Forms

Online Forms

Tuition Waiver (A.K.A Session Application)Forms

One waiver per period (see form)!

 

MU Waiver Due Dates:

Period 3:   Summer   I - Monday, March 20, 2017
                  Summer  II - Friday, April 21, 2017
                  Summer III - Friday, May 19, 2017             

 

Period 2:    Fall 2017 – Friday, June 30, 2017
                   
    
Period 1
:   Winter 2017 – Friday, October 27, 2017
                  Spring 2018 – Friday, October 27, 2017

At Millersville

Beneficiary Forms

  • MetLife (Basic Life Insurance) Call 855-972-5433 to change beneficiary information or update personal information
  • PSERS Beneficiary Nomination Form (PDF)
    Beneficiary form for employees enrolled in the Public School Employees Retirement System
  • SERS402 Beneficiary Form (PDF)
    Beneficiary form for employees enrolled in the State Employees’ Retirement System
  • TIAA-CREF Beneficiary Form (PDF)
    Beneficiary form for employees enrolled in TIAA-CREF retirement plan Group Life Insurance
  • VGLIP Enrollment Form (PDF)
  • VGLIP Beneficiary Change Form (PDF)
    If you are enrolled in the Voluntary Group Life Insurance, you may use this form to update your beneficiaries. Complete only the Employee Section and the Beneficiary Section. Sign and date the form, and return it to Human Resources.
  • VGLIP Insurance Change Form (PDF)

HealthCare – PASSHE Group  (Managers, Faculty, Coaches, Nurses, Police)

HealthCare – PEBTF Group  (AFSCME, State University Administrators, Physicians)

Other