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.
-
Authorization to Electronically Transmit Information
-
Pension Inquiry Form
-
Vacation Relief Request Form - Pension
-
UEBT Retiree Enrollment Packet
-
Kaiser Medicare Enrollment Packet
-
UEBT Retiree Other Insurance Information (OII) Form
-
Appointment of Personal Representative Form
-
Authorization to Release Medical Information
-
Blue Shield UEBT OTC COVID Test Reimbursement Form for Actives and Non-Medicare Retirees
-
Blue Shield UCBT OTC COVID Test Reimbursement Form for Actives and Non-Medicare Retirees
-
Personal Information Change Form - Pension
-
Direct Deposit Authorization Form