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.
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UCBT Request for Transfer of Eligibility Credits
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UEBT Request for Transfer of Eligibility Credits
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Retiree Health Plan Student Certification Form
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Sick Leave/Disability Extension Form Packet
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Request to Reinstate or Terminate Eligibility for Benefits
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UCBT Active Other Insurance Information (OII) Form
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UCBT Retiree Other Insurance Information (OII) Form
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UEBT Preventive Care Guidelines 2022
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Medicare Advantage Reimbursement Claim Form and Instructions
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2024 Kaiser HIPAA Authorization Form