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