Get Disability Or Waiver Of Premium Claim Employee Statement 06329e

Completing the Disability Or Waiver Of Premium Claim Employee Statement 06329E online is a key step in managing your disability claim efficiently. This guide will help you understand each section of the form and provide clear instructions to navigate the process.

Follow the steps to fill out and submit your claim form online

1. Click ‘Get Form’ button to obtain the form and open it in your online editor.
2. Begin with section A - Identification. Fill in your last name, first name, sex, date of birth, and address details. Ensure your contact information, including telephone number and email address, is accurate.
3. In section B - General Information, answer the questions regarding your education, work experience, and previous treatment for the condition leading to your disability. Be clear and provide as much detail as necessary.
4. Continue in section B by providing details about any accident or sickness coverage you may have through other sources, including insurer name, policy number, and benefit amounts.
5. Proceed to section C - Direct Deposit Enrollment. Authorize Desjardins Insurance to deposit your benefit payment directly into your financial institution account by entering the required bank information and attaching a specimen cheque marked ‘VOID’.
6. In section D, review the Personal Information Management statement to ensure you understand how your data will be handled and what rights you have regarding your personal information.
7. Complete section E, where you will declare and authorize Desjardins Insurance to collect and communicate necessary information regarding your claim. Ensure to sign and date the form.
8. After filling out all sections, save the completed form on your computer. Keep original forms for your records.
9. Finally, submit your form online as per the instructions, ensuring all necessary documents are included for a smooth processing of your claim.

Complete your Disability Or Waiver Of Premium Claim Employee Statement 06329E online to ensure your claim is processed efficiently.