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.

  • 2023 Kaiser HIPAA Authorization Form
  • Kaiser Medicare Enrollment Packet
  • Kaiser Medicare Senior Advantage Disenrollment Form
  • Kaiser/Kaiser Dual Reimbursement Form
  • Medical Benefits (Shingles Vaccination, Hearing Aid, CBD Oil, COVID OTC) Reimbursement Form
  • Medicare Advantage Reimbursement Claim Form and Instructions
  • Notice of Return from Armed Forces
  • 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