Enrollment Documents – Mail Request

Enrollment Documents – Mail Request

Date*

Last Name*

(Separate multiple last names with a space only - no other character)

First Name*

UBC ID

Please enter your UBC ID number. (Enter as UXXXXXXXX; No spaces or special characters). Please DO NOT enter your Social Security Number. If you don't have a UBC number, then leave this field blank.

What would you like to receive by mail?

This may take 6-10 days, based on USPS delivery time and your state of residence.

Select

Street Address*

(Example: 533 S. Fremont Ave.) The documents you request will be mailed to the address indicated but if you have recently moved, please submit a Change of Address form to the Trust Office. Submitting this electronic request is not a Change of Address request.

City*

(Example: Los Angeles)

State*

(Example: CA)

Select

Zip Code (5 digits)*

(Example: 90071)

Email Address*

Cell Phone*

Enter as ##########, with no spaces or special characters. If you do not have access to a cell phone, please enter your home number.

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