Medical Forms

ABX Air United Health Care Medical Claim Form

Medco Health Prescription Mail Order Form

Medco Health, Allergy, and Medical Questionnaire - Must be completed for first time mail order users.

International United HealthCare Form

Optum Health Bank application for the HSA

Dental & Visions Forms 

ABX Air MetLife Dental Claim Form

Onsite Dental pre-appointment information form

MetLife Dental Card

ABX Air EyeMed Vision Care Form

Flexible Spending Accounts Forms

UHC Medical &.Dependent Care Flexible Spending Account 

Beneficiary Forms 

Full-time Beneficiary Form 

Part-time Beneficiary Form 

Flight Crewmember Beneficiary Form 

Family Medical Leave Forms (revised March 11, 2008)

Family Medical Leave Request  |  ABX Cargo Services version

FML Certification of Employee Medical Condition  |  ABX Cargo Services version

FML Certification of Medical Condition for Employee’s Relative  |  ABX Cargo Services version

Other Forms

Employee Stock Purchase Plan Enrollment Kit

Payroll Direct Deposit form

Personal Leave Request form 37kb PDF 21k DOC

Tuition Reimbursement form