Retiree Forms


This page is for retirees only. Faculty and staff who are actively employed with the University of Missouri should obtain forms from the Benefits Forms webpage. Forms are in Portable Document Format (PDF) and may be viewed using Acrobat Reader. You may complete the forms online and then print out a copy to sign and mail. You may also print out the form and complete them entirely by hand.

Retiree Benefit Forms

2015 2014
2015 Retiree Benefits Enrollment/Change Form - to be used outside of the Annual Enrollment period 2014 Retiree Benefits Enrollment/Change Form
New form coming soon Medicare Part D Opt Out Form
Division of Benefits Order Same as 2015


Claim Forms


Beneficiary Designation Forms


Retiree Payroll Forms

Reviewed 2015-01-31.