Downloading Forms

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Submitting Forms (choose one)

  • Benefits & Retirement
    600 Henley Street
    Suite #221
    Knoxville, TN 37996-4125
  • Email: retirement@tennessee.edu
  • Fax: 865-974-3559

Prudential Long Term Disability Information

Long Term Disability Enrollment

For new employees (first 31 days of employment)

Long Term Disability Late Enrollment*

For late enrollment into the LTD plans after the first 31 days of employment.

*Also requires Exempt or Non-Exempt Employee Enrollment Form above.

Long Term Disability Cancellation

Long Term Disability Claim