By completing this application you are confirming you are an University of Miami Employee of a dependent of a University of Miami employee with Tuition Remission Benefits.

If you complete this application and are not eligible for the benefit your application will be denied. To verify your tuition remission benefit please contact HR-Benefits at 305-284-3004 or complete the online form at www.miami.edu/benefits/ask.

Please review our privacy statement relating to information we collect, choice/opt-out, and correction/updating of personal information before proceeding.

Required questions are marked with an (*).

* By checking here I hereby certify that I am University of Miami Employee or a dependent of a University of Miami employee with Tuition Remission Benefits.
Yes

* Are you a University of Miami Employee with tuition remission benefits?

Yes No

If yes, please enter below your complete name.
(as listed in the Human Resource records).

Please enter your employee ID number.

* Are you a dependent of a University of Miami employee with Tuition Remission Benefits?

Yes No

If yes, please enter below your complete name.
(as listed in the Human Resource records).

Please enter your cane ID number.

Dependent of:

Employee ID number:

Relationship:

* E-mail Address (of applicant):