Below are the most commonly-requested forms for members. Please be sure to send any required receipts or documents along with the completed form for the quickest processing by ClaimLinx or other parties. Documents can be sent by mail to the ClaimLinx office, fax at (800) 858-1913 or email at help@claimlinx.com.
ClaimLinx ID Card Request Form
Please send completed form to ClaimLinx for processing. No additional documents required.
Change of Address Form
Please send completed form to ClaimLinx for processing. No additional documents required.
Medical Reimbursement Form
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.
Prescription Claim Reimbursement Form
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.
Dental Reimbursement Form
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.
Vision Expense Reimbursement Claim Form
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.