Forms Directory
See below for a general list of forms that can be downloaded or printed. Please use the search bar or filter buttons to find a specific form. (Some forms may only be found behind your secure participant login.)
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Appointment of Personal Representative Form
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Authorization to Electronically Transmit Information
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Authorization to Release Medical Information
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Blue Shield UCBT OTC COVID Test Reimbursement Form for Actives and Non-Medicare Retirees
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Blue Shield UEBT OTC COVID Test Reimbursement Form for Actives and Non-Medicare Retirees
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CA State Withholding Election Form
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Direct Deposit Authorization Form
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Elixir Mail Service Brochure
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Federal Tax Withholding Form (W-4P)
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Kaiser Medicare Enrollment Packet
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Kaiser Medicare Senior Advantage Disenrollment Form
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Pension Inquiry Form