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.)

  • Overage Disabled Dependent Child Medical Benefits Application
  • Participant Account Registration Quick Reference
  • Participant Account Registration Tutorial
  • Pension Inquiry Form
  • Personal Information Change Form - Health and Welfare
  • Prudential - Notice of Conversion Privilege Form
  • Request to Reinstate or Terminate Eligibility for Benefits
  • Retiree Health Plan Student Certification Form
  • Sick Leave/Disability Extension Form Packet
  • UCBT Active Annual Verification Enrollment Packet
  • UCBT Active Other Insurance Information (OII) Form
  • UCBT Active Premier Enrollment Packet