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  • Member's Statement For Occupational Disability

Get Member's Statement For Occupational Disability

Ast) Social Security Number Mailing Address Daytime Phone Number City State Zip Employing City D o not complete this form if a copy of the city statement is not attached. Disability information You may attach additional pages if necessary to answer any question below. 1. Describe fully your present disability and its causes with a complete history to date (attach additional pages if necessary):.

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Occupational Disability means an illness, injury, accident or condition of either a physical or psychological nature as a result of which you are unable to perform substantially the duties and responsibilities of your position for 180 days during a period of 365 consecutive calendar days.

An occupational disability is a disability that inhibits you from performing key functions of your position that cannot be resolved by changes in your situation. For example, you sustain a shoulder injury, and your doctor informs you that from now on, you have a maximum lifting limit of twenty pounds.

Which of the following refers to "own occupation" disability? Insured is unable to perform duties of the occupation for which he/she was educated and trained.

An “own occupation” disability policy provides benefits if an insured is disabled from engaging in their “own occupation.” If the person's occupation is a physician, then the person is disabled if his or her medical condition prevents working as a physician.

In an occupational disability benefit claim, you have to prove that you can't go back to your job as a railroader. In a total disability claim, you have to prove that you can't do any jobs that are available in the national economy whatsoever. There are different eligibility requirements for occupational disability.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232