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HR Service Center Lobby Closed

In an effort to better serve you, the HR Service Center Team is attending our annual Benefits Conference.

We will promptly begin responding to your inquiries on 06/13/2025

Please reach out to us via email, phone: 512-471-4772 or HR Service Portal ( Only users who can authenticate on our systems can reach us by HR Portal )

 It is always a pleasure serving you!

 

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  • Retired Employee
  • Forms for Retired Employees

Forms for Retired Employees

General Forms

  • Pre-Retirement Checklist
  • ORP Declaration of Retirement (Online)
  • Contact Information Update
  • Benefits Cost Worksheet
  • Prescriptions by Mail Order
  • Annual Leave Deferral Purchase / Change Agreement (Online)

Insurance Enrollment Forms

  • Insurance Enrollment / Change Application (PDF)
  • Dependent Information (PDF)
  • Automatic Payment Request Authorization - for Retiree Insurance Payments (PDF)
  • Dependent Grandchild Certification Form (PDF)

Optional Insurance Forms

  • Term Life Evidence of Insurability Application (PDF)
  • Beneficiary Designation for Term Life (PDF)

Claim Forms

  • UT Select Medical  
  • Express Scripts Prescription
  • Delta Dental
  • Superior Vision

Retired Employee

  • Pre-Retirement Checklist
  • Employment After Retirement
  • Forms for Retired Employees
  • Insurance
  • Part-Time Work
  • Support & Services
Human Resources home

Human Resource Service Center

1616 Guadalupe St., Suite 1.408
Austin, TX 78701

Phone: 512-471-4772 (HRSC)
Phone (Toll Free): 800-687-4178
Fax: 512-232-3524

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