Caltech Retiree Important Forms and Notices
These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.
HIPAA and General Authorization form
WEX Automatic Premium Reimbursement Request Form
More Information
- 2026 DDC Amounts
- Guide: How to Log in to Your Account (Benefits)
- Guide to your Online Account (Benefits)
- Filing Claims Handout
- WEX Benefits Mobile App Handout
- Getting started with the WEX benefits mobile app
- How to file a claim in the WEX Benefits Mobile App
- Out-of-pocket reimbursement form
- Direct Deposit Form