SISC Enrollment Form
Use this form to change from Kaiser to Blue Shield. If you are changing to Kaiser, please fill out the Kaiser form.
**Use this form for MEMBERSHIP CHANGES. You must submit a SISC Change form as well.**
MEMBERSHIP CHANGE FORM
Please use to make any changes: Name, Address, Telephone Number, Add/Remove Dependents (Proof Needed)
Blue Shield Claim Form
Domestic Partnership Affidavit
SISC will only accept this form.
Blue Shield Disabled Dependent Enrollment Form