A-C | D-F | G-I | J-L | M-R | S | T | U | V-Z

• UBEN 100 Continuation, Enrollment, Change, or Cancellation — Retiree Medical, Dental and/or Legal Plan
• UBEN 101 Medicare Advantage Prescription Drug Plan Disenrollment Form
• UBEN 106 Tax Withholding Election for UCRP Income
• UBEN 106NR Tax Withholding Election (Nonresident Aliens)
• UBEN 108 COBRA Continuation Open Enrollment and Change Form
• UBEN 109 Notice to UC of a COBRA Qualifying Event
• UBEN 116 Designation of Beneficiary—Employees
• UBEN 117 Designation of Beneficiary—Retirees, Former Employees and Others
• UBEN 119 Designation of Alternate Beneficiary—Expanded Dependent Life and AD&D
• UBEN 127 Medicare Advantage Universal Enrollment/Election Form
• UBEN 131 UC Benefits Address Change Notice
• UBEN 132 Service Credit Verification Request
• UBEN 142 Distribution Request
• UBEN 142 CAP - Distribution Request of CAP balances
• UBEN 250 Declaration of Domestic Partnership--UCRP
• UBEN 253 Termination of Domestic Partnership
• UBEN 254 Exclusively Rrepresented Academic Student Employee (ASE) Child Care Reimbursement
• UCRP/CalPERS Reciprocity Factsheet
• UCRP/CalSTRS Concurrent Retirement Factsheet
• UCRP Disability Handbook
• UCRP Buyback Booklet, The
• UCRP IRC 415 Factsheet
• UCRP Summary Plan Description for Members without Social Security
• UCRP Summary Plan Description for Safety Members
• UCRP Summary Plan Description for Tier Two Members
• UCRP/CalPERS Reciprocity Factsheet
• UCRS 160 Direct Deposit--Enrollment, Change or Cancellation
• UCRS 419 Statement — Employment not Covered by Social Security
• University of California: Overview of Outreach and Recruitment, Training and Development, and Valuing Diversity Programs for Staff Employees
• UPAY 585  State Oath of Allegiance and Patent Agreement
• UPAY 850 Enrollment, Change, Cancellation, or Opt Out — Health and Welfare Plans
• UPAY 884 UC Pretax Transportation Deductions or Cancellation or Re-enrollment (Form is included in Pretax Transportation Program Factsheet)
• UPAY 919-ASE/GSR DepCare FSA Enrollment, Change, or Cancellation Salary Reduction Agreement—Academic Student Employees/Graduate Student Researchers Only