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.
-
Adopted or Step Child Verification Form
-
Appointment of Personal Representative Form
-
Authorization to Electronically Transmit Information (Pension)
-
Authorization to Release Medical Information
-
Benefits Registration Form
-
Blue Shield International Claim Form
-
Blue Shield Provider who Does Not Bill Form
-
Blue Shield UCBT OTC COVID Test Reimbursement Form for Actives and Non-Medicare Retirees
-
Blue Shield UCBT OTC COVID Test Reimbursement Form Medicare Retirees
-
Blue Shield UEBT OTC COVID Test Reimbursement Form for Actives and Non-Medicare Retirees
-
Blue Shield UEBT OTC COVID Test Reimbursement Form for Medicare Retirees
-
CA State Disability Insurance Information