Get Application For Imrf Disability Benefits - Imrf

Filling out the Application for IMRF Disability Benefits is an essential step for individuals seeking assistance due to disability. This guide provides a clear, step-by-step approach to completing the form online, ensuring users understand each component of the application process.

Follow the steps to complete your application efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Fill in your personal details, including your full name, mailing address, phone number, and Social Security number. Make sure to print your Social Security number on all documents you submit.
3. Indicate the nature of your illness or injury, including the date of the first treatment you received for the disability. This information is crucial for processing your claim.
4. Provide the last date you worked. Note that you should not file this claim while still working.
5. Answer the questions regarding the cause of your injury and any prior treatments received. Be honest and thorough in your responses.
6. Include the names, addresses, and contact information for all physicians and hospitals involved in your treatment. Each physician needs to complete a Physician’s Statement for you.
7. Complete the federal income tax withholding certificate included in the form. Decide if you want tax withheld and provide the necessary details.
8. Sign and date the application. Make sure to complete this after your last day of work.
9. Once completed, you can save any changes made, download the form for your records, or print it for mailing. Submit the application directly to IMRF or via fax.

Complete your Application for IMRF Disability Benefits online today to ensure timely processing of your request.