Disability and Life Insurance Options
Short Term Disability
Dearborn National
800-778-2281
Summary Short Term Disability Information
Certificate Book
Claim Form
Long Term Disability
Cigna
Summary Long Term Disability Information
Certificate Book
Claim Form
Life Insurance
Minnesota Life
Summary Employee Life Insurance Information
Certificate Book
A. Class 1 Details
Beneficiary Election
The Beneficiary Election Form can be returned to Human Resources Benefits Administration, +0602.
Workers' Compensation / Work Related Injury Forms
Please use these forms if you should sustain a work related injury. Completion of these forms does not assure the allowance of the claim in accordance with the Ohio Bureau of Workers Compensation.
- The University of Akron Accident Report
- Supervisor's Report of Injury
- First Report of Injury (FROI) form
- Workers' Compensation Card To access this document, you will be required to enter your UAnet ID and password.