Get Prudential Gl.2013.154 2016

The Prudential GL.2013.154 form is essential for Veterans applying for the Servicemembers’ Group Life Insurance (SGLI) Disability Extension. This guide provides user-friendly, step-by-step instructions for completing the form online to ensure a smooth application process.

Follow the steps to successfully complete the Prudential GL.2013.154 form online.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Fill out the 'Veteran Information' section accurately, including your first name, last name, social security number, and date of birth. Ensure that all requested information, such as your address and contact details, is complete.
3. Complete the 'Eligibility' section by answering all questions. If you have been rated totally disabled by the VA, include a copy of the decision document with your application.
4. In the 'Veteran’s Impairment Statement', indicate whether you have any of the specified conditions by selecting 'Yes' or 'No'. If you select 'Yes', you need to attach relevant medical proof or VA rating decisions.
5. Provide your current work status in the 'Work Status' section. You may need to elaborate on your employment history. If additional space is needed, attach a separate sheet.
6. Sign and date your application in the 'Veteran’s Signature' section. Ensure that your signature matches your name provided earlier in the form.
7. Complete the HIPAA Authorization Form by providing necessary details and getting it signed. This form is essential for your physician to release necessary medical information.
8. Have your physician fill out and sign the 'Physician’s Statement' accurately, ensuring all relevant details about your condition are included.
9. Once all sections are completed and signed, review your application for any errors or omissions. It's crucial that all necessary attachments, including your recent separation orders and Leave and Earnings Statement (LES), are included.
10. Mail your completed application and all attachments to the specified address: OSGLI, PO Box 41618, Philadelphia, PA 19176, or fax it to 800-236-6142.

Start completing your Prudential GL.2013.154 form online today to ensure you secure your SGLI Disability Extension.