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  • The University Of Texas System Special Dependent Application

Get The University Of Texas System Special Dependent Application

Plans. If required, a separate Evidence of Insurability form must be submitted. Before approval can be considered, you must submit documentation which shall consist of legal evidence of adoption, guardianship, conservatorship, marriage (step child) or other appropriate evidence as provided for in Article 11.01 of the Texas Family Code. If the dependent is a grandchild, the policyholder must provide documentation and certify that the child is a dependent of the policyholder for federal income ta.

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How to fill out the The University Of Texas System Special Dependent Application online

This guide provides users with a comprehensive overview of how to complete the University of Texas System Special Dependent Application online. Our aim is to assist you in navigating the application process smoothly and accurately.

Follow the steps to complete your application effectively.

  1. Click ‘Get Form’ button to access the application form and open it in your preferred document editor.
  2. Begin by entering your name and UTD-ID in the designated fields. This identifies you as the employee filing the application.
  3. Fill in the dependent's name, birth date, and gender. Ensure accuracy as this information is crucial for eligibility determination.
  4. Select the reason for filing the application from the options provided: either 'New Hire/Newly Eligible' or 'Family Status Change.'
  5. Indicate whether the dependent is married by selecting 'Yes' or 'No.' This information may affect eligibility.
  6. Specify the relationship of the dependent to you in the provided field, offering detailed information if required.
  7. If the dependent is a grandchild, confirm whether you are claiming the grandchild for income tax purposes by selecting 'Yes' or 'No.'
  8. Review the certification agreement attentively. You must affirm that all information is true and complete and that any inaccuracies could void this application.
  9. Sign the application to validate your submission. Include the date of signing.
  10. If applicable, ensure that the Institutional Human Resource Manager or designated representative signs and dates their section.
  11. Once all sections are completed, save the changes to your document. You may then choose to download, print, or share the finalized application.

Take the next step and fill out the University of Texas System Special Dependent Application online today.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232