Forms

All Claim forms, including mail order prescription forms, are available in each school office and at the Admin. Office Benefits area.

Available online forms:

Blue Cross Blue Shield of Michigan
Master Medical Claim Form
Employee Benefit Concepts, Inc.
Unreimbursed Medical - Reimbursement Claim Form Dependent Care - Reimbursement Claim Form
UnitedHealthcare Vision (formerly Spectera)
Out-of-Network Submission Form
Retirement / Resignation Notification
Administrative / WEA Local 1815 Local 1346 Non Union
Miscellaneous Forms/Instructions
Applicant Reference Check Form Employee's Report of Injury* Initial Recommendation to Hire Peak Load Authorization* Personal Business Day Notification Substitute Exclusion Notification

*This form is saved in the Document Depot under Human Resources. A user name and password is required to access this form.