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. Click the blue "Showing __ Results" text at the top of the directory to see more forms.

  • Blue Shield/PPO International Claim Form
  • CA State Disability Insurance Form (EDD)
  • CA State Withholding Election Form
  • Death Beneficiary Designation Change Form
  • Direct Deposit Authorization Form
  • Dismemberment and Loss of Sight Form
  • Domestic Partner Declaration of Dependency for Tax Purposes
  • Elixir Compound Drug Prior Authorization
  • Elixir Designation of Personal Representative (English)
  • Elixir Designation of Personal Representative (Spanish)
  • Elixir Drug Reimbursement Claim Form
  • Elixir Mail Service Brochure