Complete and return Forms Following is a list of available forms in PDF format. Completed forms should be scanned and emailed only. Beneficiary Designation Form Change of Address Form (English) Change of Address Form (Spanish) Coordination of Benefits Employer Letter Coordination of Benefits Form Enrollment Form (English) Enrollment Form (Spanish) Proof of Claim (Employee or Dependent) Short Term Disability (Loss of Time) Short Term Disability (Loss of Time) New Jersey Residents Vision Services Claim Form