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                Get Ltd Claim Form - The Standard
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How to fill out the LTD Claim Form - The Standard online
Filling out the Long Term Disability (LTD) Claim Form from The Standard is an essential step for those seeking benefits. This guide will provide a detailed walkthrough of the form, ensuring you understand each section and the necessary information required to support your claim.
Follow the steps to complete the LTD Claim Form online.
- Press the ‘Get Form’ button to access the LTD Claim Form and open it in your editor.
- Begin with the Employee's Statement section. Fill in your full name, Social Security number, address, phone number, birthdate, and any other requested personal information. If a section does not apply to you, write 'NA' to indicate it was not overlooked.
- In the Employment section, provide your employer's name, group policy number, job title, and a brief description of your duties. Indicate whether your disability is work-related and any relevant details regarding Workers’ Compensation claims.
- Proceed to the Sickness and Injury sections. List all illnesses and injuries contributing to your inability to work, including dates first noticed and descriptions of symptoms.
- Complete the Pregnancy section if applicable, noting expected delivery dates and any complications anticipated.
- Identify all physicians who have treated you for related conditions in the Attending Physician section. Provide their contact information and treatment history.
- Fill out the Employer's Statement section with your employer's information. Ensure they provide accurate details about your employment status and any previous claims.
- Carefully review all sections for completeness. Ensure you have signed and dated the form, as an unsigned form will be returned.
- Once the form is complete, save changes. Choose to download or print the form for your records and for submission.
Complete your LTD Claim Form online today to ensure a smoother claims process!
Disability benefits are temporary cash benefits paid to an eligible employee, when they are disabled by an off-the-job injury or illness. Disability benefits are equal to 50 percent of the employee's average weekly wage for the last eight weeks worked, with a maximum benefit of $170 per week (WCL §204).
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