Details about your deductible can be found in your benefit booklet. What is this form for?Use this UnitedHealthcare Claim Form to ask for payment for eligible care you've already received. Contact the City Clerk's Office at 334-241-2096 for questions concerning filing a claim with the City of Montgomery. This form is used when seeking reimbursement for non-participating providers. The forms can be filled in on the computer. What do I do once I have completed the course(s)?. The "Request for Tuition Reimbursement Form" must be submitted within 60 days after the course is completed. Submit anytime to update your beneficiaries for existing optional employee life insurance coverage. MCPS Form 450-2: Optional Dependent Term Life Insurance