Forms

NOTE: All forms on this page are in PDF format

General Forms:

• Adult Dependent Dissolution Form
• Affidavit of Common-Law Marriage Form
• Dependent Premium Hardship Waiver Application
• Out-of-Area Travel Pre-Authorization Application

Claim Reimbursement Forms:

• Medical Claim Form (Domestic)
• Medical Claim Form (International)
• Medical Massage Therapy Claim Form
• Vision Hardware Claim Form
• Over-The-Counter COVID-19 Test Claim Form

Standard Life Insurance Booklets, Certificates & Forms

• Standard Insurance Co.
• Standard Travel Assistance
• Standard Life Services Toolkit