Get Colonial Life Continuing Disability Claim Form

Filling out the Colonial Life Continuing Disability Claim Form online can be a straightforward process if you follow the correct steps. This guide provides a clear and supportive walkthrough to help you complete the form accurately, ensuring you provide all necessary information for your claim.

Follow the steps to accurately fill out the Colonial Life Continuing Disability Claim Form online.

1. Click ‘Get Form’ button to obtain the form. This will open the Colonial Life Continuing Disability Claim Form in your editor of choice.
2. Begin with Section 1, which is to be completed by the policy owner. Fill in the claimant's name, mailing address, birth date, and social security number. Specify the gender and provide contact information such as home and work telephone numbers. Indicate whether the claim is due to an accident or sickness and describe the condition preventing the claimant from working.
3. Provide details of the accident or sickness, including the date it occurred and a description of the event. Answer questions regarding whether the claimant was at work at the time and provide the dates of being unable to work.
4. Indicate if the claimant has experienced limitations in activities of daily living by checking the appropriate boxes. If applicable, provide dates of house confinement for those not employed.
5. Move to Section 2, which is to be completed by the employer. Fill in the details regarding the employee's job title, full-time status during the period of inability to work, and expected return to work date.
6. For Section 3, complete the part designated for the physician. Provide the patient's name, date of birth, primary condition, and supporting symptoms and findings. Include dates of treatment and any relevant test results.
7. Lastly, review all entered information for accuracy. Use the signature fields to sign and date the form where required. Once complete, you can save the changes, download the form, print it out, or share it as needed to ensure submission.

Start completing your Colonial Life Continuing Disability Claim Form online to ensure your claim is processed efficiently.