| CS-1285 | ACH Authorization and Agreement for Auto Payment- Dental Retiree Block |
| 7713-04 | ACH Authorization and Agreement for Auto Payments |
| 7713-04-NY | ACH Authorization and Agreement for Auto Payments - New York |
| CS-1157-1-NY | ACH Authorization and Agreement for Auto Payments - NY (First Unum) |
| CS-1157-1-PLC | ACH Authorization and Agreement for Auto Payments - NY and NJ (Provident Life and Casualty) |
| CS-1157-1-PLA | ACH Authorization and Agreement for Auto Payments (Provident Life and Accident) |
| CS-1157-1 | ACH Authorization and Agreement for Auto Payments (Unum Life Insurance Company of America) |
| CL-1170 | ADA Service Medical Authorization |
| CS-1261 | AlwaysCare Authorization for Release of Health Information |
| CA-31301 | Authorization Agreement to Transfer Funds - New York |
| CS-1244 | Authorization and Agreement for Automatic Payments |
| CS-1244-NY | Authorization and Agreement for Automatic Payments - NY |
| 29-86 | Authorization Auto Pay |
| 29-86-NY | Authorization Auto Pay - New York |
| CS-1237 | Authorization for Third Party Group Long Term Care |
| CS-1237-NY | Authorization for Third Party Group Long Term Care - New York |
| CL-1088 | Authorization HIPAA Disability Claim |
| CL-1088-SP | Authorization HIPAA Disability Claim - Spanish |
| CL-1108 | Authorization HIPAA Individual Disability Claim |
| CL-1108-SP | Authorization HIPAA Individual Disability Claim - Spanish |
| CL-1250 | Authorization HIPAA VB Claim (Patient) |
| CL-1116 | Authorization HIPAA VB Disability Claim |
| CL-1116-SP | Authorization HIPAA VB Disability Claim - Spanish |
| 1225-03-AUTH-NY | Authorization Statement IDI - First Unum - New York |
| 1225-03-AUTH-PRL | Authorization Statement IDI - Paul Revere - LA, NY, and NC |
| 1225-03-AUTH-PLA | Authorization Statement IDI - PLA |
| 1225-03-AUTH-NY-PLC | Authorization Statement IDI - PLC - New York |
| 1225-03-AUTH-UNM | Authorization Statement IDI - Unum - LA and NC |
| 1225-03-AUTH | Authorization Statement IDI - Unum, PRL, PLA |
| CL-1107 | Authorization To Disclose Psychotherapy Notes |
| 1163-CA | Authorization to Obtain Information - Wisconsin |
| CL-1294 | Authorization-Notice of Life Insurance |
| CL-1294-SP | Authorization-Notice of Life Insurance - Spanish |
| CL-1099 | Claim - Authorization - Accelerated Life or Dismemberment |
| CL-1058-CCR | Claim - VB - Authorization to Disclose Info to Third Parties (Chronic Care Rider) |
| CL-1058-CS | Claim - VB - Authorization to Disclose Info to Third Parties (claimant signature) |
| CL-1058-IPS | Claim - VB - Authorization to Disclose Info to Third Parties (insured patient signature) |
| CL-1058-PS | Claim - VB - Authorization to Disclose Info to Third Parties (patient signature) |
| CL-1058-PHS | Claim - VB - Authorization to Disclose Info to Third Parties (policyholder signature) |
| 1084-06 | Employer Direct Bill Authorization Form - New Jersey |
| CS-1115 | IDI e-policy authorization form |
| CS-1238 | Individual Long Term Care Authorization Form (Billing/Policy Change) |
| CL-1164-SP | LTC Authorization - Spanish |
| CL-1165 | LTC Authorization for Additional Contact |
| 6653-03 | Medical Authorization Form (HIPAA) - Arizona |
| 6720-03-CA | Medical Authorization Form (HIPAA) - California |
| 6721-03-CA | Medical Authorization Form (HIPAA) - California |
| 6742-05 | Medical Authorization Form (HIPAA) - California |
| 6614-03 | Medical Authorization Form (HIPAA) - Generic |
| 6720-03 | Medical Authorization Form (HIPAA) - Generic |
| 6721-03 | Medical Authorization Form (HIPAA) - Generic |
| 6639-03 | Medical Authorization Form (HIPAA) - Maine |
| 6720-03-ME-VT | Medical Authorization Form (HIPAA) - Maine and Vermont |
| 6721-03-ME-VT | Medical Authorization Form (HIPAA) - Maine and Vermont |
| 6674-03 | Medical Authorization Form (HIPAA) - Minnesota |
| 6720-03-MN | Medical Authorization Form (HIPAA) - Minnesota |
| 6721-03-MN | Medical Authorization Form (HIPAA) - Minnesota |
| 6717-03 | Medical Authorization Form (HIPAA) - New Jersey |
| 6681-03 | Medical Authorization Form (HIPAA) - New Mexico |
| 6720-03-NM | Medical Authorization Form (HIPAA) - New Mexico |
| 6721-03-NM | Medical Authorization Form (HIPAA) - New Mexico |
| 6720-03-NY | Medical Authorization Form (HIPAA) - New York |
| 6721-03-NY | Medical Authorization Form (HIPAA) - New York |
| 6676-03 | Medical Authorization Form (HIPAA) - Vermont |
| 6661-03 | Medical Authorization Form (HIPAA) - Virginia |
| CL-1088-PFL | Paid Family Medical Leave Authorization |
| CL-1088-PFL-SP | Paid Family Medical Leave Authorization - Spanish |
| CS-1220 | Third Party Authorization Form for Portability |
| CS-1178 | Third Party Authorization Request |
| CL-1212 | Third Party Integrated Authorization |
