Get Unum Cl-1104 2012

Filling out the UNUM CL-1104 Short Term Disability Claim Form online can be straightforward if you follow the right guidelines. This guide aims to provide a clear, step-by-step process to help you accurately complete this essential document for beneficial claims.

Follow the steps to complete the UNUM CL-1104 successfully.

1. Press the ‘Get Form’ button to access the UNUM CL-1104 and open it in your preferred editor.
2. In the top section of the form, enter your name and date of birth in the designated fields. Ensure this information is consistent across all pages.
3. Complete the Employee Statement on pages 4-5 thoughtfully. Provide details regarding your personal information, including contact details, social security number, and employer's information.
4. Fill in the information pertaining to your disability, specifying whether it’s due to an illness or injury, including further details on your medical condition and relevant dates.
5. If applicable, fill out the Authorization to Share Information section on page 6, allowing UNUM to communicate with designated individuals regarding your claim.
6. Ensure the last page is signed and dated, confirming your understanding and consent regarding the claims process and the fraud warning.
7. Once all sections are completed, save your changes. You can then download, print, or share the form with the necessary parties.

Complete your UNUM CL-1104 form online to ensure a smooth claims process.