These forms are for changes to benefits or leaves of absence. Employees electing or changing their benefits must complete the appropriate form and submit it to a benefits specialist no later than 30 days from the IRS Qualifying Life Event.  Supporting document of the qualifying life event and dependent documentation are required. Please contact our benefits team for questions about the processes and forms required to make changes to your benefits or requesting a leave of absence.

  • HRIC Benefits Specialists
  • Phone: 303-871-7420 option 3
  • Email:

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Forms - To be completed by Management and Business Officers

These forms are to be completed by the department's business officer or the supervisor of the employee who is requesting a leave of absence.



HRIC Benefits Specialists