Other Benefits Forms

» About Pima » Administration » Administrative Departments / Initiatives » Employee Services » Benefits » Other Forms

Tuition Waiver Form (PDF)

Domestic Partner Affidavit (MS Word)
Termination of Domestic Partnership Statement (MS Word)

Application to Request Donated Leave (MS Word)
Application to Donate Leave (MS Word)

Inpatient Outpatient Reimbursement Form (MS Word)

Emergency Buy Out of Vacation Leave (MS Word)

See also: Enrollment Forms | Claim/Change Forms