Educational Benefit Forms

ETSU Employee Forms
Other TBR/UT Employee Forms
State Employee Forms
Certified Public School Teacher Forms

ETSU Employee Forms for Educational Benefits

All requests for Education Benefits beginning Fall 2022 (Fee Waivers, Tuition Reimbursements & Spouse/Dependent Discounts) will need to be submitted via the new electronic form. Paper/PDF forms will continue to be accepted for only Summer 2022. Please visit the Human Resources website for more information or click here to access the Educational Benefits Dynamic Form.

Name	Discount per Term	Courses	General Qualifications	FYI
Request for Education Assistance Fee Waiver & Audit/Non-Credit	1 class free	Graduate or Undergraduate courses qualify	Full-time employee as of first day of class	ETSU Employees use this form for classes at ALL TBR & UT Schools
ETSU Employee Audit Program	up to 6 hrs free	Graduate, Undergraduate and non-credit courses qualify	Employed at least 6 months
ETSU Spouse/Dependent Fee Discount	50% off in-state maintenance & program service fees; Part-time is pro-rated	Undergraduate courses only	Spouse or dependent child 26 yrs old or younger as of 1st day of class	ETSU Employees use this form for spouse/dependents at ETSU & Other TBR/UT Schools
Request for Tuition Reimbursement	up to 6 credit hrs successfully completed	Graduate or Undergraduate courses qualify	Faculty, Administrative Prof Staff employed at least 6 months	Use the Request for Education Assistance Fee Waiver & Audit/Non-Credit form before using this form. Full-time employees are reimbursed at ETSU rate, part-time employees are reimbursed at a pro-rated percent

Questions? Contact the Office of Human Resources. By phone: (423) 439-4457.

Other TBR/UT Employee Forms

Name	Discount per Term	Courses	General Qualifications	Where to turn it in:	FYI
UT Employee Fee Waiver	1 class free	Graduate or Undergraduate courses qualify	Full-time employee as of first day of class	Bursar/Cashier after agency approval	UT Employees use this form for classes at UT & TBR Schools
UT Spouse/Dependent Fee Discount	50% off maintenance	Undergraduate courses only	Spouse or dependent child 26 yrs old or younger as of 1st day of class	Financial Aid Office after agency approval	UT Employees use this form for classes at UT & TBR Schools
Other TBR Univ/College Fee Waiver - (Located on Employee's TBR School Website)	1 class free	Graduate or Undergraduate courses qualify	Full-time employee as of first day of class	Bursar/Cashier after agency approval	TBR School employees use this form for spouse/dependents at ALL TBR & UT Schools
Other TBR Univ/College Spouse Dependent Fee Discount - (Located on Employee's TBR School Website)	50% off instate maintenance & program service fees	Undergraduate courses only	Spouse of dependent child 26 yrs or younger as of 1st day of class	Financial Aid Office after agency approval	TBR School employees use this form for spouse/dependents at ALL TBR & UT Schools

For questions regarding UT Forms, contact Human Resources at the University of Tennessee by e-mail or at (865) 974-8170.
For questions regarding other TBR forms, contact Human Resources at the employee's TBR School.

State Employee Forms

Name

Discount per Term

Courses

General Qualifications

Where to turn it in:

FYI

State Employee Fee Waiver

1 class free
(up to 4 credit hours per TN State Law)

Graduate or Undergraduate courses qualify

Full-time State employee as of first day of class, does not include teachers

Bursar/Cashier after agency approval

Teachers & County Govt employees are not eligible for this fee waiver.

For more information, see: Fee Waiver, Rules for State Employees & FAQs

State Dependent Fee Discount

25% off in-state maintenance fees

Undergraduate courses only

Dependent child 23 yrs old or younger as of 1st day of class

Financial Aid Office after agency approval

Fee Discount Forms Must be completed and signed after the following dates before the Office of Financial Aid and Scholarships can accept or process them:

Semester	Date
Fall	Jul 1
Spring	Nov 15
Summer	Apr 15

For more information, see: Fee Discount, Rules for State Employees & FAQs

Questions? Contact the Tennessee Higher Education Commission at (615) 741-3605.

Certified Public School Teacher Forms

Name	Discount per Term	Courses	General Qualifications	Where to turn it in:	FYI
Teacher Dependent Fee Discount Form	25% off in-state maintenance fees	Undergraduate courses only	Dependent child 23 yrs old or younger as of 1st day of class	Financial Aid Office after agency approval	Fee Discount
Dependent Fee Discount of Retired Teacher Form	25% off in-state maintenance fees	Undergraduate courses only	Dependent child 23 yrs old or younger as of 1st day of class	Financial Aid Office after agency approval	Fee Discount