When using DocuSign employees must use their Cal Poly email address. The use of personal emails will cause the document to be placed in an error folder and potentially lost.
DocuSign Benefits Forms
The benefit forms below can now be submitted online through Docusign. Please click on the desired link to begin the process. Additional information regarding Docusign can be found on the Cal Poly ITS webpage: Service Desk Website
- Enrollment Worksheet for Benefit Elections or Changes (Not for Open Enrollment (OE) Changes - OE changes must be made in MyCalPoly Portal)DOCUSIGN
- ACA Enrollment Worksheet for Benefit Elections or Changes (Health Only) DOCUSIGN
- Domestic Partner Dependent Certification Form DOCUSIGN
- Affidavit of Parent-Child Relationship DOCUSIGN
- Dependent Care/Health Care Reimbursement Account Enrollment Authorization Form (Not for Open Enrollment (OE) Changes - OE changes must be made in MyCalPoly Portal) DOCUSIGN