You might want to complete an Authorization for Release of Employee Benefits Information. Once this form is completed and submitted, Human Resources Management can release benefits information to the person(s) you designate.

Option 1 Authorization for Release of Employee Benefits Information

Use this version if you will complete and sign the form anywhere other than in the Department of Human Resources Management. It requires a notary witness.

Once the form is completed, signed, and notarized, it should be sent to Human Resources Management, mail stop 9603.
Option 2 Authorization for Release of Employee Benefits Information

Use this version if you will complete and sign the form in the Department of Human Resources Management.