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O. Box 20070 Cranston RI 02920-0941 Telephone 401 462-8420 Fax 401-462-8466 TTY Via RI Relay 711 AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION Please provide this to your Qualified Healthcare Provider or Facility. Do not send to TDI. Doctor s Name Doctor s Address Patient s Date of Birth Last 4 Digits of Patient s S.S. Patient s Name Patient s Address You are hereby authorized to furnish and release to the Rhode Island Department of Labor Trai.

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Most eligible customers receive their first payment within three weeks from the day TDI receives the application. Missing or wrong information may delay payment. Benefits are paid by direct deposit or electronic payment card.

First Payments Most eligible customers get their first payment within 3-4 weeks from the day we receive a valid application. Missing, or incorrect information may delay payment. Prompt responses from QHPs are needed to process claims.

The 14 weeks need not be consecutive nor with only one employer. You must also meet the following conditions in addition to the eligibility requirements described above: Your injury or illness is not work related; not caused by your job. Your injury or illness prevents you from performing your regular duty.

TDI is income support for individuals out of work for non-work related illness or injury; TCI is income support (up to 5 weeks) for individuals out of work to care for seriously ill child, spouse, domestic partner, parent, parent-in-law, or grandparent, or to bond with a newborn child, adopted child or foster child.

To be eligible for TDI/TCI benefits, you must have earned wages in Rhode Island and paid into the TDI/TCI fund. For claims filed effective 1/1/23 or later, you must have been paid at least $15,600 in the Base Period for the claim.

The application process can take up to 6 months so filing an application early is important.

The weekly benefit is equal to 4.62% of the wages paid to you in the highest quarter of your base period. The maximum benefit rate is $1,007 and the minimum benefit rate is $114. You may also be entitled to a dependents allowance for a child under age 18 or a child age 18 or older who is disabled.

To qualify medically for TDI payments, you must also be unable to perform your regular work duties. Note that you don't have to be unable to do any type of work, just your customary work. You must be unable to work for at least seven days, called your waiting period.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232