Get Ddp1 Supplement Form

Completing the Ddp1 Supplement Form online is a straightforward process designed to collect vital information related to your disability claim. This guide will walk you through each section of the form, ensuring you provide all necessary details in a clear and precise manner.

Follow the steps to successfully complete the Ddp1 Supplement Form.

1. Click 'Get Form' button to access the Ddp1 Supplement Form and open it in your preferred online editing tool.
2. Begin by filling out the Employee Statement section. Provide your full name, policy number, and claim number as requested.
3. Answer the questions regarding your work status since becoming disabled. Indicate if you have returned to any work and whether you expect to return in the near future.
4. Inquire about any changes in your medical condition over the past year, noting if it has remained the same, worsened, or improved.
5. Detail any changes in your lifestyle by indicating your living situation, whether at home, in assisted living, or in a convalescent facility.
6. Provide information about your ability to perform activities of daily living, such as ambulating, leaving your home, and driving.
7. List any current participation in work, volunteer activities, study programs, or therapy. Be sure to elaborate on each activity if necessary.
8. Complete the section on income to indicate any social security benefits, workers' compensation, pension, or other disability income, along with the relevant amounts and dates.
9. Review the authorization section, acknowledging your consent for Professional Insurance Company to access relevant medical and personal information.
10. Sign and date the form, ensuring all provided information is accurate before submission.
11. Once completed, save the changes to the form. You can download, print, or share it as needed.

Get started with completing your Ddp1 Supplement Form online today.