Benefits

Classified Staff Terminating Employment
-- Important Benefits Information --

If you are terminating employment with Virginia Commonwealth University (VCU), please review the following important information concerning the status of your current benefits and complete the forms as indicated.  Click on the links to print the forms (unless otherwise indicated).  A termination packet, which includes these forms, also is available from VCU Human Resources - Lindsey House Quick Stop at 600 West Franklin Street. 

• Employer Certification of Eligibility for Conversion Privilege

You may convert your group life insurance to an individual whole life policy with Minnesota Life. If you wish to convert your policy without having to complete a medical questionnaire, return this completed form within 31 days of your employment termination date.

Please Note:  This form is not available on line -- you will need to contact Minnesota Life at 1-800-441-2258 or VCU Human Resources. 

• VRS Factsheet

If you are a member of the Virginia Retirement System (VRS), you may request a refund of your retirement contributions, rollover your contributions to a qualified retirement plan, or keep them with the VRS.  The VRS Factsheet provides information on your options and the tax consequences of taking a distribution.

• VRS Refund Request

Complete and return this form to request a refund or rollover of your VRS contributions.  You must include with this form a copy of your Social Security card or other official document that shows your Social Security number.

• VRS Address Declaration for Inactive Members

Complete and return this form if you would like your retirement contributions to remain with VRS. 

• Savings Bond Cancellation

If you currently participate in the U.S. Savings Bonds Program, contact the National Bond and Trust Company (NBT), VCU's third-party vendor, at 1-800-426-9314 or visit the NBT website at http://www.nbtco.com/.

• VCU Employment Verification Release

Complete and return this form if you would like VCU to provide your University employment information upon request.

Please Note:  This form is not available online -- contact VCU Human Resources. 

• Personal Data Form

Complete and return this form to let us know if you have a change of address.

Return completed HR forms to VCU Human Resources - Lindsey House Quick Stop at 600 West Franklin Street.  If you have questions or need additional information, please email or call us at (804) 827-1770. 

 Note: You will Adobe Reader to access some of the forms and documents on these pages. You can obtain a free copy of Adobe Reader at the Adobe Reader Assistance Page. 

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