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Continental American Insurance Company P.O. Box 427, Columbia, SC 29202 Phone: 18668490011 Fax: 18668492970ShortTerm Disability Claim Form Instructions 1. Complete Claimant sections: Sections I and.

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How to fill out the NGP - CAIC STD Claim Form FINAL.doc online

Filling out the NGP - CAIC short-term disability claim form can seem daunting, but with this guide, you will find it straightforward and manageable. This document provides crucial information required to successfully submit your claim online.

Follow the steps to complete your claim form effectively.

  1. Click the ‘Get Form’ button to access the claim form and open it in your preferred editing tool.
  2. Begin by filling out Section I with your personal data, including your full name, employee ID, address, email, phone number, and date of birth. Ensure that all fields are accurately completed.
  3. Proceed to Section II, where you will need to describe the incident that led to your claim, including details about your illness or injury, the date it started, and the first symptoms you experienced. Be thorough in your descriptions as this information is crucial for your claim.
  4. In Section III, this part must be completed by your union representative or supervisor. Provide your employment information, including the dates you were unable to work, and have them sign the section.
  5. Once every section of the form has been completed, ensure to sign and date the authorization for health information disclosure. This is crucial for your claim processing.
  6. Finally, review the entire document for any missing information or errors. Save your changes and choose one of the following options: download the completed form, print it for your records, or share it directly if applicable.

Start filling out your NGP - CAIC STD claim form online today to ensure your claim is submitted promptly.

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