Forms
Insurance Forms and Resources
Easily access UC SHIP documents, including benefit booklets, claim forms, and multilingual materials for medical, dental, vision, and prescription coverage. Some documents are in Adobe PDF format and can be opened with Adobe Reader.
UC SHIP/CruzCare Enrollment & Cancellation
UC SHIP benefit information hub – click on resources → forms & documents to view the 2025–2026 forms.
Additional helpful links
Claim Forms
UC SHIP/CruzCare Enrollment & Cancellation
You only need to visit these links if you are instructed to do so by the Billing & Insurance office.
- Waiver Reversal / Enrollment Form (pdf)
- CruzCare Enrollment/Cancellation form (pdf)
- Non-registered students: enroll in Continuation, Filing Fee, or Leave of Absence for yourself and your dependents
- Registered Students: for campus-billed students who want to add dependents to the plan
- UC SHIP Undergraduate Voluntary Plan Cost Sheet (pdf)
- UC SHIP Graduate Voluntary Plan Cost Sheet (pdf)
Online Enrollment Student Experience Guide: Follow the step by step instructions for account creation or login, selecting coverage options, entering personal and academic information, reviewing terms, confirming payment, and optionally adding dependents on the AHP site.
