Get (hsc): Long-term Disability Claim Form

Filling out the (HSC): Long-Term Disability Claim Form online can seem daunting, but this guide is designed to make the process straightforward and manageable. Follow the steps outlined below to ensure that all necessary information is provided accurately and completely.

Follow the steps to successfully complete your claim form.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred internet browser. This will allow you to view and complete the form online.
2. Start with Section I, which must be completed by the employer's authorized representative. Ensure to provide key details such as the employee's name, social security number, and employment information.
3. Move to Section II, intended for the employee’s statement. Here, the employee will need to fill out personal information, including the last name, first name, date of birth, and contact details. This section is crucial for determining eligibility.
4. Proceed to Section III, where the employee must sign the authorization to obtain information. This allows The Hartford to access necessary medical records related to the claim.
5. Complete Section IV, the attending physician's statement. This must be filled out by the treating physician and provides important information about the employee's medical condition.
6. Ensure certification by reviewing all filled sections for completeness. All questions should be answered, and any required attachments, such as medical records or a job description, should be included as instructed.
7. Once all sections are completed, save your changes, then download and print the form. You can share the completed application through fax or mail it to the provided address at The Hartford.

Start filling out your claim form online today to ensure a smooth application process.