Responsible Offices - Any -Academic AffairsAdvancement ServicesBoard of RegentsBudget and PlanningBusiness AffairsCapital ProjectsChancellorCollaborative Business ServicesContracts and ProcurementContracts and Procurement 2024ControllerCreative and Web ServicesEmployee BenefitsEventsExternal Relations Communications and Advancement ServicesFacilities ManagementFinanceGeneral CounselGovernmental RelationsHealth AffairsHistorically Underutilized BusinessHuman ResourcesInformation SecurityInstitutional Research and AnalysisMedia Relations and CommunicationsPolicePopulation HealthReal EstateRISC ServicesRisk ManagementShared Information ServicesSystem AuditSystemwide ComplianceSystemwide Information ServicesTalent and InnovationTechnology and Information ServicesTelecommunication ServicesUniversity LandsUT Center LaredoWeb Team Apply Title Published File(s) Page Insurance Guidance and Supplement to OGC Agreements for Goods and Services Nov 6th, 2024 More Info on Insurance Guidance and Supplement to OGC Agreements for Goods and Services WCI/UCI Rates - FY 2025 Oct 7th, 2024 WCI/UCI Rates - FY 2025 More Info on WCI/UCI Rates - FY 2025 Appendix D-WCI/UCI Premium Due Dates Oct 7th, 2024 2025 Premium Due Dates More Info on Appendix D-WCI/UCI Premium Due Dates ORM Organizational Chart Sep 18th, 2024 orm-organizational-chart-sept-2024.pdf More Info on ORM Organizational Chart Health Care Network Acknowledgement Form - Stephen F. Austin Dec 15th, 2023 English Spanish More Info on Health Care Network Acknowledgement Form - Stephen F. Austin UT System Administration High Risk Travel Request Form Oct 10th, 2023 ut-system-administration-high-risk-travel-request-form103023.pdf More Info on UT System Administration High Risk Travel Request Form WCI/UCI Rates - FY 2024 Sep 20th, 2023 WCI/UCI Rates - FY 2024 More Info on WCI/UCI Rates - FY 2024 WCI/UCI Rates - FY 2023 May 1st, 2023 WCI/UCI Rates - FY 2023 More Info on WCI/UCI Rates - FY 2023 Appendix A/B - Calculation/Fund Transfer Reports May 1st, 2023 Appendix A/B - Calculation/Fund Transfer Reports More Info on Appendix A/B - Calculation/Fund Transfer Reports WCI/UCI Rates - FY 2022 May 1st, 2023 WCI/UCI Rates - FY 2022 More Info on WCI/UCI Rates - FY 2022 UT System Administration- Employee’s First Report of Work-Related Injury Nov 4th, 2022 UT System Administration - Employee's First Report of Work-Related Injury More Info on UT System Administration- Employee’s First Report of Work-Related Injury IMO Med-Select HCN Network Acknowledgement Form Nov 4th, 2022 English Spanish More Info on IMO Med-Select HCN Network Acknowledgement Form IMO Med-Select HCN Network FAQ Oct 1st, 2022 FAQ More Info on IMO Med-Select HCN Network FAQ IMO Med-Select HCN Employee Handbook - Vietnamese Oct 1st, 2022 Vietnamese More Info on IMO Med-Select HCN Employee Handbook - Vietnamese IMO Med-Select HCN Employee Handbook Oct 1st, 2022 English Español Vietnamese More Info on IMO Med-Select HCN Employee Handbook IMO Med-Select HCN Notice of Network Requirements - Vietnamese Oct 1st, 2022 Vietnamese More Info on IMO Med-Select HCN Notice of Network Requirements - Vietnamese IMO Med-Select HCN Notice of Network Requirements Oct 1st, 2022 English Spanish Vietnamese More Info on IMO Med-Select HCN Notice of Network Requirements Foreign Coverage Quick Reference Coverage Chart Dec 30th, 2021 ut-system-foreign-coverage-quick-reference-sheet-12-2022.pdf More Info on Foreign Coverage Quick Reference Coverage Chart Employee's First Report of Work-Related Injury or Endemic Illness May 14th, 2021 Employee's First Report of Work-Related Injury or Endemic Illness More Info on Employee's First Report of Work-Related Injury or Endemic Illness Defense Base Act LS-202 - Employer's First Report of Injury or Occupational Illness May 14th, 2021 Defense Base Act LS-202 - Employer's First Report of Injury or Occupational Illness More Info on Defense Base Act LS-202 - Employer's First Report of Injury or Occupational Illness Defense Base Act LS-210 – Employer’s Supplementary Report of Accident or Occupational Illness May 14th, 2021 Defense Base Act LS-210 – Employer’s Supplementary Report of Accident or Occupational Illness More Info on Defense Base Act LS-210 – Employer’s Supplementary Report of Accident or Occupational Illness Student International Travel Accident & Sickness Policy - Policy Brochure Feb 5th, 2021 2021 UT SITASI Brochure More Info on Student International Travel Accident & Sickness Policy - Policy Brochure WCI/UCI Rates - FY 2021 Feb 3rd, 2021 WCI/UCI Rates - 2021 More Info on WCI/UCI Rates - FY 2021 Injury Leave for Peace Officers - Form 23P Jan 11th, 2021 Form 23P - Injury Leave for Peace Officers More Info on Injury Leave for Peace Officers - Form 23P WCI23- Employee's Leave Election Jan 11th, 2021 WCI23- Employee's Leave Election More Info on WCI23- Employee's Leave Election UT ISOS ID Card Aug 24th, 2020 UT ISOS Card 2020 More Info on UT ISOS ID Card Employee’s First Report of Work-Related Injury of Endemic Illness-FVWC Jun 3rd, 2020 Employee’s First Report of Work-Related Injury of Endemic Illness-FVWC More Info on Employee’s First Report of Work-Related Injury of Endemic Illness-FVWC WCI/UCI Rates - FY 2020 Mar 26th, 2020 WCI/UCI Rates - FY 2020 More Info on WCI/UCI Rates - FY 2020 Medical Claim Form Dec 20th, 2019 2020 Medical Claim Form More Info on Medical Claim Form Trip Cancellation Claim Form Dec 20th, 2019 2020 Trip Cancellation Claim Form More Info on Trip Cancellation Claim Form Claim Reporting Instructions Dec 20th, 2019 CHUBB USA Claim Reporting Instructions 2020 More Info on Claim Reporting Instructions Health Care Network Acknowledgement Form - The University of Texas at Tyler Dec 16th, 2019 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas at Tyler Workers’ Compensation HCN-Opt In Oct 10th, 2019 Workers’ Compensation HCN-Opt In More Info on Workers’ Compensation HCN-Opt In WCI/UCI Rates - FY 2019 Oct 23rd, 2018 WCI/UCI Rates - FY 2019 More Info on WCI/UCI Rates - FY 2019 2018 Risk Management Post Conference Report Jun 1st, 2018 2022 Risk Management Post Conference Report 2018 Risk Management Post Conference Report More Info on 2018 Risk Management Post Conference Report ACORD Automobile Loss Notice Jan 29th, 2018 2025 Auto Loss Notice More Info on ACORD Automobile Loss Notice WCI/UCI Rates - FY 2018 Sep 1st, 2017 WCI/UCI Rates - FY 2018 More Info on WCI/UCI Rates - FY 2018 Desk Ergonomic Comfort Self-Checklist: Seated and Standing Jul 12th, 2017 Desk Ergonomic Comfort Self-Checklist: Seated and Standing More Info on Desk Ergonomic Comfort Self-Checklist: Seated and Standing Health Care Network Acknowledgement Form - The University of Texas Southwestern Medical Center Feb 1st, 2017 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas Southwestern Medical Center Health Care Network Acknowledgement Form - The University of Texas MD Anderson Cancer Center Feb 1st, 2017 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas MD Anderson Cancer Center Appendix C - UCI C-58R Worksheet Sep 1st, 2016 UCI C-58R Worksheet More Info on Appendix C - UCI C-58R Worksheet WCI/UCI Rates - FY 2017 Aug 31st, 2016 WCI/UCI Rates - FY 2017 More Info on WCI/UCI Rates - FY 2017 WCI/UCI Rates - FY 2016 Aug 31st, 2015 WCI/UCI Rates - FY 2016 More Info on WCI/UCI Rates - FY 2016 Appendix B - Fund Source Statement Jun 11th, 2015 uci-fund-source-statement.pdf More Info on Appendix B - Fund Source Statement Appendix C - C-58R Worksheet Jun 11th, 2015 ucic58rworksheet.pdf More Info on Appendix C - C-58R Worksheet Appendix A - UCI Benefits Statement Jun 11th, 2015 ucibenefitsstatement.pdf More Info on Appendix A - UCI Benefits Statement UCI Reimbursement Procedure Sep 30th, 2014 unemployment-reimbursement-procedure.pdf More Info on UCI Reimbursement Procedure Assessment Procedure Sep 30th, 2014 unemployment-assessment-procedure.pdf More Info on Assessment Procedure UCI Rates-FY 2014 Sep 1st, 2014 fy-2014-rates.pdf More Info on UCI Rates-FY 2014 WCI/UCI Rates - FY 2015 Sep 1st, 2014 WCI/UCI Rates - FY 2015 More Info on WCI/UCI Rates - FY 2015 Health Care Network Acknowledgement Form - The University of Texas at Dallas May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas at Dallas Health Care Network Acknowledgement Form - The University of Texas Permian Basin May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas Permian Basin Health Care Network Acknowledgement Form - The University of Texas Health Science Center at San Antonio May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas Health Science Center at San Antonio Health Care Network Acknowledgement Form - The University of Texas at Austin May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas at Austin Health Care Network Acknowledgement Form - The University of Texas at Arlington May 12th, 2014 English Spanish More Info on Health Care Network Acknowledgement Form - The University of Texas at Arlington Health Care Network Acknowledgement Form - The University of Texas at El Paso May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas at El Paso Health Care Network Acknowledgement Form - The University of Texas at San Antonio May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas at San Antonio Health Care Network Acknowledgement Form - The University of Texas Medical Branch at Galveston May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas Medical Branch at Galveston Health Care Network Acknowledgement Form - The University of Texas M.D. Anderson Cancer Center May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas M.D. Anderson Cancer Center Health Care Network Acknowledgement Form - Vietnamese May 12th, 2014 Vietnamese More Info on Health Care Network Acknowledgement Form - Vietnamese Health Care Network Acknowledgement Form - The University of Texas at Brownsville May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas at Brownsville Health Care Network Acknowledgement Form - The University of Texas Pan American May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas Pan American Health Care Network Acknowledgement Form - The University of Texas Health Science Center at Houston May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas Health Science Center at Houston Health Care Network Acknowledgement Form - The University of Texas Health Science Center at Tyler May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas Health Science Center at Tyler Health Care Network Acknowledgement Form - The University of Texas System Administration May 12th, 2014 English Español More Info on Health Care Network Acknowledgement Form - The University of Texas System Administration Modern Medical Instant Access Form Aug 2nd, 2013 wcimodmed.pdf More Info on Modern Medical Instant Access Form Sports Camp Application for UT Owned & Operated Camps Apr 29th, 2013 rfcampappsports1213.xlsx More Info on Sports Camp Application for UT Owned & Operated Camps Non-Sports Camp Application for UT Owned & Operated Camps Apr 29th, 2013 rfcampappnonsports1213.xlsx More Info on Non-Sports Camp Application for UT Owned & Operated Camps UCI Rates-FY 2009 Jan 1st, 2013 ucirates2009.pdf More Info on UCI Rates-FY 2009 Potential Claim Incident Report Form Jan 1st, 2013 cpppclaimform.pdf More Info on Potential Claim Incident Report Form TULIP Procedures Jan 1st, 2013 rftulipprocessproc.xlsx More Info on TULIP Procedures International General Liability Notice Jan 1st, 2013 international-general-liability-notice-claim-form.pdf More Info on International General Liability Notice International Auto Liability Loss Notice Jan 1st, 2013 international-auto-liability-loss-notice.pdf More Info on International Auto Liability Loss Notice Sample Behind the Wheel Driving Course Jan 1st, 2013 rcdrivingskills.pdf More Info on Sample Behind the Wheel Driving Course DWC 1 - Employer's First Notice of Injury Form Jan 1st, 2013 Employer's First Notice of Injury Form More Info on DWC 1 - Employer's First Notice of Injury Form Business Continuity Planning, Educause CONNECT Jan 1st, 2013 rcrescontchecklist.pdf More Info on Business Continuity Planning, Educause CONNECT DWC 53 - Employee's Request to Change Treating Doctor, Non-Network Jan 1st, 2013 DWC 53 - Employee's Request to Change Treating Doctor, Non-Network More Info on DWC 53 - Employee's Request to Change Treating Doctor, Non-Network Derechos y Responsabilidades Para los Empleados Jan 1st, 2013 Derechos y Responsabilidades Para los Empleados More Info on Derechos y Responsabilidades Para los Empleados Appendix E-Journal Entry Procedures Jan 1st, 2013 UCI Journal Entry Procedures More Info on Appendix E-Journal Entry Procedures Appendix C-WCI/UCI Monthly Premiums Worksheet Jan 1st, 2013 WCI/UCI Premium Worksheet More Info on Appendix C-WCI/UCI Monthly Premiums Worksheet 1 2 › Next › » Last »
