Get Continuing Claim Form - Mlc - Mlc Com

Filling out the Continuing Claim Form for MLC is an essential process for users seeking to continue their claims. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your Continuing Claim Form online.

1. Click the ‘Get Form’ button to access the Continuing Claim Form and open it in your document editor.
2. Begin by providing your scheme name or employer's business name, followed by your policy or member number at the top of the form.
3. Complete your personal details, including title, first name, middle name, family name, date of birth, phone numbers, email address, and residential address. Ensure your residential address is not a PO Box.
4. Specify your disability details by describing the nature of your medical condition, current symptoms, treatments, and any further medical recommendations.
5. List all healthcare providers you have consulted regarding your condition. Include their names, specialties, contact details, and the dates you have seen them.
6. If you have undergone any hospital treatments since your last claim, provide the hospital's name, reason for admission, and admission and discharge dates.
7. Detail any claims made for this condition with other insurers or government departments, if applicable. Include the insurer's name, contact information, and claim type.
8. Indicate whether you have other sources of income, providing the type and amount if applicable.
9. Answer if you are still unable to work and provide relevant details about your expected return to work plan.
10. Outline your normal duties that you are unable to perform, as well as those you are still capable of handling.
11. Provide any additional comments that may assist in the assessment of your claim.
12. Complete the disclosure section to grant permission for a representative to receive information about your claim.
13. Read and sign the declaration and authority section, ensuring all your answers are true and complete, and attach any supporting documents.
14. Finally, save your changes, and download or print the completed form for your records. Then follow the specified mailing instructions to submit it.

Ensure your claim is processed smoothly by completing your Continuing Claim Form online today.