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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UEBT Elixir Market Price Drug Exception Request
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UEBT Extended Death Benefit Filing Requirements
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UEBT Life and Accidental Death Claim Application
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UEBT Preventive Care Guidelines
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UEBT Request for Transfer of Eligibility Credits
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UEBT Retiree Dependent Documentation Requirements
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UEBT Retiree Enrollment Packet
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UEBT Retiree Other Insurance Information (OII) Form
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Uprise Health (HMC) Claim Submission Form
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Username and Password Tutorial
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Vacation Relief Request Form - Pension