Get Guardian Db-450 2017-2025

The Guardian DB-450 form is a crucial document for individuals seeking disability benefits due to illness or injury while employed. This guide will provide clear, step-by-step instructions to help users navigate the form accurately and efficiently.

Follow the steps to complete the Guardian DB-450 online.

1. Press the ‘Get Form’ button to access the Guardian DB-450 and open it in the online form editor.
2. Begin with Part A, the 'Claimant's Statement'. Fill out your full name (First, Middle, Last), ensuring accuracy in your details.
3. Provide your policy number and social security number in the designated fields.
4. Enter your current address, including city, state, and zip code, followed by your telephone number.
5. Fill in your date of birth and select your marital status by checking the appropriate box.
6. Describe the nature of your disability, including details about the injury if applicable.
7. Indicate the date you became disabled and specify if you worked on that particular day.
8. List the name and address of your last employer, including your occupation and contact information.
9. Provide details regarding your employment history within the last eight weeks and average weekly wages.
10. Respond to questions about any wages, compensation, or other benefits you may be receiving during your period of disability.
11. If applicable, indicate any previous disability benefits received within the past 52 weeks.
12. Review and acknowledge your understanding of the instructions, then sign and date the claim at the end of Part A.
13. If you have a representative signing on your behalf, provide their details in the designated area.
14. After completing Parts A, B, and C, save your changes. Download or print the form for your records.
15. Finally, submit the completed form via mail or fax as directed, or share it electronically as needed.

Start completing your Guardian DB-450 online today for timely processing of your disability benefits.