Forms Directory

See below for a general list of forms that can be downloaded or printed. Please use the filter buttons to help search for a specific form by category. Some forms may only be found behind your secure participant login. Click the blue "Showing __ Results" text at the top of the directory to see more forms.

  • Adopted or Step Child Verification Form
  • Authorization to Release Medical Information
  • UCBT Active Standard Clerk's Helper Enrollment Packet
  • UCBT Active Standard Enrollment Packet
  • CA State Disability Insurance Form (EDD)
  • Personal Information Change Form - Health and Welfare
  • Death Beneficiary Designation Change Form
  • Overage Disabled Dependent Child Medical Benefits Application
  • UEBT Retiree Dependent Documentation Requirements
  • Domestic Partner Declaration of Dependency for Tax Purposes
  • Elixir Compound Drug Prior Authorization
  • Elixir Designation of Personal Representative (English)