Get Mike Coakley Colonial Life Phone Number Form

The Mike Coakley Colonial Life Phone Number Form is designed to streamline the process of submitting claims for disability benefits. This guide will walk you through each section of the form, ensuring that you understand how to complete it accurately and efficiently when filling it out online.

Follow the steps to complete the form easily.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin with Section 1, which is to be completed by the policy owner. Fill in your full name, birth date, and mailing address, including city, state, and zip code. Provide your email address and any apartment number if applicable. Enter the claimant’s name and social security number.
3. Indicate the gender of the claimant by selecting either 'Male' or 'Female'. Enter both the home and work telephone numbers for the claimant.
4. Specify the nature of the claim by indicating whether it is due to an 'Accident' or 'Sickness' and describe the condition that prevents the claimant from working.
5. Input the date the accident occurred, and provide a detailed description of the accident or sickness. Answer whether the claimant was at work during the incident.
6. If the claimant is not employed, list the dates for house confinement. Then, provide the date the claimant returned to work.
7. Proceed to indicate the full-time or part-time work status, including dates when the claimant was unable to work. Fill in the expected return to work date if applicable.
8. Section 2 will require completion from the employer. Include the employee’s job title, dates they were unable to work, and their employment status at the time of the incident.
9. In Section 3, the physician will need to complete their section by providing the primary condition preventing the patient from working, symptoms, and objective findings, as well as any treatments or consultations.
10. Once all sections are filled out completely and accurately, ensure all required signatures are provided, including the claimant and policy owner.
11. Finally, save the completed form, and prepare to download, print, or share it as needed.

Start filling out your documents online today to simplify your process.