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
  • Authorization to Electronically Transmit Information
  • Authorization to Release Medical Information
  • Blue Shield UCBT OTC COVID Test Reimbursement Form for Actives and Non-Medicare Retirees
  • Blue Shield UEBT OTC COVID Test Reimbursement Form for Actives and Non-Medicare Retirees
  • CA State Withholding Election Form
  • Direct Deposit Authorization Form
  • Elixir Mail Service Brochure
  • Federal Tax Withholding Form (W-4P)
  • Kaiser Medicare Enrollment Packet
  • Kaiser Medicare Senior Advantage Disenrollment Form
  • Pension Inquiry Form