Forms

General Forms

• Health Census
• Disability Census
• SCMA Membership Application

 

Members' Insurance Trust Forms

• Dental Application
• Group Adoption Agreement
• Health Insurance Application
• Health Insurance Waiver of Coverage
• Leave of Absence Reporting
• Beneficiary Designation
• Automatic Draft Authorization

 

Lincoln Financial Forms

• Accident Plan Policy Certificate
• Accident Claim Form
• Long Term Disability Claim Form
• Long Term Disability Policy Certificate
• Short Term Disability Claim Form
• Short Term Disability Policy Certificate
• Voluntary Life Application
• Voluntary Life Beneficiary Form
• Voluntary Life Claim Form
• Voluntary Life Policy Certificate
• Voluntary Life Policy Amendment No. 1
• Voluntary Life Evidence of Insurablity Form
• Voluntary Life Portability Form