Employee Benefits

Benefit Enrollment Deadline Worksheets

For Use by UW System Human Resources and Benefits Staff

A benefit enrollment deadline worksheet should be completed and given to every benefit-eligible employee before or upon hire. Please review the Employer Instructions for information about how to complete the worksheets. Please select the appropriate worksheet from the list below.

Benefit Enrollment Deadline Worksheets for Classified Employees:

Note: Effective December 2, 2011, there are no longer separate enrollment deadline worksheets for classified represented employees. See Employer Instructions for details.

Benefit Enrollment Deadline Worksheets for Unclassified Employees:


This document was last revised on December 5, 2011

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