Get Extension Of Disability Claim Filing Instructions - American Fidelity

Filling out the Extension Of Disability Claim Filing Instructions from American Fidelity is a crucial step in managing your claims process effectively. This guide provides clear, step-by-step instructions to help you navigate the form and ensure all necessary information is accurately submitted.

Follow the steps to complete your claim extension form correctly.

1. Press the 'Get Form' button to obtain the Extension Of Disability Claim Filing Instructions form and open it in your preferred editor.
2. Enter your account number, which is essential for identifying your existing disability claim that you wish to extend.
3. Complete the 'Statement of Insured' section with your full name, date of birth, social security number, and contact information, ensuring all fields are filled accurately.
4. In the 'DISABILITY INFORMATION' section, provide the names and contact details of all current treating physicians. Make sure to attach additional pages if needed.
5. Answer whether you have become disabled due to new illnesses or accidents. If yes, provide relevant descriptions and details about hospitalizations.
6. Detail your daily activities and employment status. If your employment has been terminated, include the termination date.
7. List any other sources of income you may be receiving during your disability, checking 'yes' or 'no' for each source, and providing amounts where applicable.
8. Sign the claim form, certifying that the information provided is truthful and correct. Ensure this signature is dated.
9. Complete the 'Attending Physician's Statement' section with your physician's details and have them fill out their part regarding your condition.
10. For the 'Authorization to Disclose Information' section, complete your signature and personal details accurately to allow for processing of your claim.
11. Review all entered information carefully for accuracy and completeness before saving your changes and either downloading, printing, or sharing the completed form as needed.

Take the next step and complete your documents online to ensure a smooth claims process.