Get Ssq Disability Application Form

Filling out the SSQ Disability Application Form online can seem daunting, but with the right guidance, the process becomes manageable and straightforward. This comprehensive guide provides step-by-step instructions to help you complete the application with confidence.

Follow the steps to successfully complete your application form.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Provide your personal information in the designated fields. This includes your RNAO membership number, name, mailing address, home and work telephone numbers, total income from your profession last year, employment status, birth date, height, weight, and gender.
3. Choose the long term disability coverage you require by checking one box only. Select from 'Benefits to Age 65,' '5 year benefit only,' or '2 year benefit only'.
4. Indicate your billing preference by checking one box on each line. Specify your preferred payment method (either 'Pre-Authorized Chequing' or 'Billed') and payment frequency (either 'Monthly' or 'Quarterly'). Additionally, authorize Morneau Sobeco Inc. for withdrawals if you chose pre-authorized payments.
5. Answer 'yes' or 'no' to a series of health-related questions. Make sure to respond accurately and thoroughly.
6. If you answered 'yes' to any of the health-related questions, provide detailed information about the diagnosis, duration, and results, as well as the date treated and the name and address of the physician or hospital.
7. Read and sign the consent statement regarding the collection and exchange of your personal information, and include your signature and the date signed.
8. Once all sections are completed, review your form for accuracy. You may then save changes, download, print, or share the form as needed.

Complete your SSQ Disability Application Form online today to ensure you receive the coverage you need.