Get Form Ub-11 11-06 Sickness Benefits For Railroad Employees

This guide provides clear and concise instructions on how to complete the Form UB-11 11-06 for claiming sickness benefits as a railroad employee. Completing this form accurately is crucial to ensure you receive the benefits you are entitled to.

Follow the steps to fill out the Form UB-11 online.

1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
2. Carefully read the qualification requirements and ensure you meet them before starting to fill out the form. This will help you provide all necessary information and reduce delays.
3. Complete Section A, which includes your identifying information such as your name, social security number, date of birth, and contact details.
4. In Section B, provide details about your infirmity and employment. This includes the date you became sick or injured, the date you last worked for a railroad, and your occupation at the time.
5. Fill out Section C, which seeks information regarding any accidents or insurance claims related to your sickness. Provide as much detail as necessary.
6. In Section D, indicate the dates for which you wish to claim sickness benefits. You must also specify any payments you have received or will receive during this claim period.
7. Complete Section E for direct deposit information if you prefer to have your benefits deposited directly to your financial institution. Attach a voided check as needed.
8. Finally, in Section F, sign and date the form, certifying that the information you provided is true and complete. Remember, accurate completion is essential to avoid delays.
9. Submit the completed form to the appropriate Railroad Retirement Board office mentioned in the instructions.
10. Once your form is processed, you may receive further claim forms for subsequent claim periods, which you must complete and return promptly.

Start filling out your UB-11 form online today to ensure timely processing of your sickness benefits.