Click on the links below to view and/or print our forms.         All forms are in Adobe Acrobat® (PDF) format. You can download and install Adobe Acrobat Reader® for free at the Adobe website. Affidavit of domestic partners Authorization Form Basic Life Enrollment Form Benefit Plan Waiver Form Caremark Prescription Drug Claim Form Caremark Primary/Preferred Drug List Change of Address Notification HIPAA Privacy Notice Providence Preferred Health Benefits Claim Form Request for Certification of Handicapped Dependent Short Term Disability Claim Application Term Form Washington Employers Trust Health Benefits Claim Form (used for Medical, Dental and Vision claims only)
	© 2008 Washington Employers Trust | Privacy Policy | Terms of Use