Forms Directory

See below for a general list of forms that can be downloaded or printed. Please use the search bar or filter buttons to find a specific form. (Some forms may only be found behind your secure participant login.)

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    All Claims Enrollment Pension Sick Leave UCBT Fund

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    • UCBT Active Premier Enrollment Packet
    • UCBT Active Standard Clerk's Helper Enrollment Packet
    • UCBT Active Standard Enrollment Packet
    • UCBT Active Ultra Enrollment Packet
    • UCBT Extended Death Benefit Filing Requirements
    • UCBT Extended Medical Benefits (Active)
    • UCBT Life and Accidental Death Claim Application
    • UCBT Preventive Care Guidelines
    • UCBT Request for Transfer of Eligibility Credits
    • UCBT Retiree Enrollment Packet
    • UCBT Retiree Other Insurance Information (OII) Form
    • UEBT Elixir Market Price Drug Exception Request