Portable Tuition for Dependants - Former Employee

For former full-time regular NYU Faculty (object code 102), Administrative and Professional Staff (object code 100), and Professional Research Staff (object code 103). This form is used to apply for the Portable Tuition Benefit for the dependent children who are full-time students matriculated for an undergraduate degree attending an accredited college or university, other than NYU. To read the Portable Tuition Benefit Plan policy click on your object code

• Code 100 click here.
• Codes 102, 103 click here.

Instructions

Application deadlines are for filing for reimbursement are:

• November 30th for the fall term
• April 30th for the spring term
• February 28th for the winter term
• September 30th for the summer term

Download and complete the form using the link at the right. Attach an itemized bill for the current term.

Mail the completed form and documentation to:
EBPA, Inc.
Reimbursement
PO Box 1140
Exeter, NJ 03833-1140

For questions about payment call EBPA at 1-800-258-7298