Get For Use With Policies Issued By The Following Unum Group Unum ... - Pugetsound

This guide provides comprehensive instructions for users to fill out the Disability Claim Form for policies issued by Unum. The process can seem daunting, but with clear steps, you can navigate each section effectively.

Follow the steps to complete your Disability Claim Form online.

1. Press the 'Get Form' button to retrieve the Disability Claim Form, opening it in a suitable editor for completion.
2. Begin by entering your last name, first name, middle initial, and date of birth in the designated fields. Ensure accuracy for proper identification throughout the processing.
3. Provide your home address, including city, state, and zip code, along with your home telephone number and cell phone number. Include a preferred email address for confirmation purposes.
4. Complete the Employee/Individual Statement section by detailing the specific condition(s) leading to your disability, answering questions about your medical treatment history, and indicating any previous related treatments.
5. If applicable, fill out the Direct Deposit Request to ensure that any benefits can be deposited directly into your bank account. Make sure to include the necessary banking information.
6. Complete the Authorization to Share Information with Third Parties if you wish for Unum to share details of your claim with anyone else, such as family members.
7. Make sure to obtain your employer's completion of the Employer Statement section. This includes necessary details about your employment type and coverage with Unum.
8. Next, provide the necessary information to be completed by your attending physician regarding your health status, including diagnosis and treatment program.
9. Finish by signing and dating the Employee/Individual Authorization, ensuring all fields are appropriately filled to avoid delays in claim processing.
10. After completing the form, review all entries for accuracy, then save your changes. You can download, print, or share the form as needed.

Begin your online form submission now to ensure a smooth process with your Unum disability claim.