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.

  • Authorization to Electronically Transmit Information (Pension)
  • Pension Credit Inquiry Form
  • Vacation Relief Request Form
  • Kaiser Medicare Election Enrollment Form
  • Adopted or Step Child Verification Form
  • Appointment of Personal Representative Form
  • Authorization to Release Medical Information
  • Benefits Registration Form
  • OTC COVID Test Reimbursement Form for UCBT Blue Shield Plan Actives and Non-Medicare Retirees
  • OTC COVID Test Reimbursement Form for UCBT Medicare Retirees
  • Kaiser Medicare/Senior Advantage Disenrollment Form
  • UCBT Active Premier Enrollment Forms Packet