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.

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  • UCBT Life and Accidental Death Claim Application
  • UCBT Request for Transfer of Eligibility Credits
  • UCBT Retiree Enrollment Packet
  • UCBT Retiree Other Insurance Information (OII) Form
  • UEBT Active Annual Verification Enrollment Packet
  • UEBT Active Extended Medical Benefits
  • UEBT Active Other Insurance Information (OII) Form
  • UEBT Active Premier Enrollment Packet
  • UEBT Active Ultra Enrollment Packet
  • UEBT Elixir Market Price Drug Exception Request
  • UEBT Extended Death Benefit Filing Requirements
  • UEBT Life and Accidental Death Claim Application