| Important
Information
Print
this page, complete the Personal Information section, and
carry it with you when you travel.
Note:
800, 866, and other toll-free phone numbers do not work
outside of the U.S. and Canada.
University
Information
General
Phone Number 734-764-1817
Benefits
Office
734-763-1217
Fax 734-763-0363
Web site http://www.umich.edu/~benefits
Email benefits.office@umich.edu
HR/Payroll
Service Center
734-615-2000
Toll free 1-866-647-7657
International
Center
734-764-9310
Fax 734-647-2181
Web site http://www.umich.edu/~icenter/overseas
International
Travel Oversight Committee
734-615-8482
Web site http://www.umich.edu/itoc/
Travel
Registry https://websvcs.itd.umich.edu/itoc-bin/main
(UM login required)
Public
Safety & Security
734-763-1131 (24 hours)
Fax 734-763-2939
Risk
Management
734-764-2200
Fax 734-763-2043
Web site http://www.umich.edu/~riskmgmt
Work~Connections
734-615-0643
Toll free 1-877-869-5266
Fax 734-936-1913
Web site http://www.umich.edu/~connect
Personal
Information
Your
Department/Program's Phone Number_________________________
Supervisor
or Contact Name______________________________________
Work
Number______________________________________________
Home
Number______________________________________________
Your
Medical Insurance Company___________________________________
Phone
Number ______________________________________________
Medical
insurance Contract (Carrier #, Group #, ID #, etc.) ___________________________________________________________
Address
for Returning Claim Forms______________________________
___________________________________________________________
___________________________________________________________
Your
Doctors' Names/Phone Numbers (Include day and evening) ___________________________________________________________
___________________________________________________________
Your
Prescription Coverage Provider________________________________
Your
Pharmacy Phone Number_____________________________________
Important
Email Addresses________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
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