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Get Sedgwick Form 39 2011-2025
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How to fill out the Sedgwick Form 39 online
Filling out the Sedgwick Form 39 online is a crucial step in the process of applying for self-insured disability benefits. This guide will take you through each step, ensuring that you complete the form accurately and efficiently.
Follow the steps to complete the Sedgwick Form 39 online.
- Click the ‘Get Form’ button to obtain the document and open it in your preferred editor.
- Complete all the required fields above, including your first name, last name, claim number (mandatory), street address, city, state, zip code, employer name, telephone number, last day worked, and first day away from work. Ensure that the Sedgwick claim number is filled out accurately for identification.
- Sign the form electronically where indicated to confirm that all information provided is true, correct, and complete.
- Prepare to submit your completed form. Choose either to send it by fax to (818) 591-7664 or mail it to Sedgwick, P.O. Box 9830, Calabasas, CA 91372-0830. Remember to submit only one copy of the form through your chosen delivery method.
- After submission, keep a copy for your records. This is important for your personal documentation.
Start filling out your Sedgwick Form 39 online today for a seamless application process.
If you need to speak to a live person at Sedgwick, the best option is to call their dedicated customer service number found on their website. They have a team ready to assist you with any inquiries. Be sure to have your case details handy to facilitate a smooth conversation.
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