Need a form? Feel free to download the current versions of these SBA forms. Just click on the links below. The forms are Adobe Acrobat PDF format. If you do not have Adobe Acrobat Reader on your computer, click here to download the free software.

Prescription Drug Claim Form

Accident & Injury Form - requires a signature

Authorization to Disclose Protected Health Information - requires a signature

How to Submit Your Form

The forms are interactive, so you can complete them online. Once you have completed the form, please print it and send it to us by mail or fax. Please note: You will only be able to save the completed form to your computer if you have Adobe Acrobat Professional.

Send your completed forms to:
Select Benefit Administrators
PO Box 230519
Portland, OR 97281
Fax: (503) 670-8263