Forms

To see and print any of the forms below simply click on the form name. The form may take differing amounts of time to populate depending upon your type of Internet connection and your computer’s processing power.
Print and prepare the selected form according to its instructions and mail to the Little Falls offices to the attention of the appropriate department.

Downloads
Authorization for Representation-English
Authorization for Representation-Spanish
Dental Claim Form
Eligibility Enrollment Form
Mandatory Second Opinion-Page 1
Mandatory Second Opinion Page-2
Prescription Claim Form
Scholarship Application