10
days

30
days

90
days

Anytime

Health Plans:

• New Jersey State Health Benefits Program Medical Application

X

• SHBP Waiver/Reinstatement Form (if applicable)

• New Jersey State Health Benefits Program Dental Application

• Copy of marriage certificate for SHBP Application
  (if applicable)

X

• Affidavit of Dependency for SHBP Application
  (if applicable)

X

• Copy of Affidavit of Domestic Partnership for SHBP Application (if applicable)

X

• Copy of Civil Union Certification (if applicable)

Tax Savings Programs:

• Unreimbursed Medical/Dependent Care Flexible Spending Account

X

• Declination of Premium Option Plan

X

Public Employees’ Retirement System (PERS):

• Public Employees’ Retirement System (PERS) Enrollment Application

X

• Additional Contributions Tax-Sheltered Program (ACTS) Salary Reduction Agreement

X

• ACTS-Carrier Election and Allocation Form

X

• Enrollment form from your carrier (copy)

X

• Supplemental Annuity Collective Trust (SACT) Enrollment Request

X

• SACT Salary Reduction Agreement

X

• NJ State Employees’ Deferred Compensation Plan Enrollment Request

X

• NJ State Employees’ Deferred Compensation Beneficiary Designation

X

• Long Term Disability for PERS (for certain administrative employees)

X*

Alternate Benefit Program (ABP):

• Alternate Benefits Program (ABP) Enrollment Application

X

• ABP Investment Carrier Allocation Form/Salary Reduction Agreement

X

• Enrollment form(s) from your carrier

X

• NJ State Employees’ Deferred Compensation Plan Enrollment Request

X

• NJ State Employees’ Deferred Compensation Beneficiary Designation

X

Long Term Care Insurance Plan:

• Enrollment form (Prudential)

X*

• Review the Rutgers University Code of Ethics and the Rutgers Plain Language Guide to Fundamental Ethics and Conflicts Rules Established by State Law, Federal Law and University Policy. Complete and return the Receipt and Acknowledgement Form to University Human Resources (staff) or Office of Academic Affairs (faculty).

Parking:

• Contact University Parking to obtain parking registration packet to register your vehicle(s)

X

Direct Deposit:

• Direct Deposit Authorization Form (Return to: Payroll Services, ASB Room 317, Busch Campus)

Photo ID Card:

• Visit a card office, present documentation of employment, and receive a photo ID card

X

• Request a NetID and email address online. Your PDR must be submitted

• View the memo on affirmative action for people with disabilities and covered veterans
• View the list of federal government definitions
• Complete the self-identification form for individuals with disabilities and covered veterans