Get Prudential Gl.2013.154 2017-2025

This guide provides a clear and structured approach to completing the Prudential GL.2013.154 form online. By following these steps, users of all experience levels can efficiently fill out their application for the SGLI Disability Extension.

Follow the steps to complete the form accurately.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Fill in the veteran information section. Enter your first name, middle initial, last name, social security number, and date of birth (MM DD YYYY). Then, select your gender, and provide your address, phone number, email address, and date of separation.
3. In the eligibility section, indicate whether the VA has rated you as totally disabled based on individual unemployability by selecting 'Yes' or 'No'. If 'Yes', include the VA rating decision document with your application.
4. For the veteran’s impairment statement, determine if you have any of the listed conditions that would affect your eligibility. If you checked 'Yes' to any conditions, you must include supporting documentation from the VA or Military rating decision.
5. In the work status section, choose the option that describes your current work situation and indicate if you require special conditions or accommodations at work. Provide evidence if necessary.
6. In the veteran's signature section, sign and date your application, confirming that all provided information is true and complete. Ensure you attach the required documentation, including your most recent separation orders and Leave and Earnings Statement (LES).
7. If applicable, complete the authorization for release of information section. This section allows for the disclosure of your medical information necessary for processing your application.
8. If required, ensure the physician completes their statement section accurately, providing details about your impairment and treatment.
9. Review your form for completeness and accuracy before submission.
10. Finally, save changes, download, print, or share the completed form as needed, and mail it to the address indicated in the application instructions.

Complete your documents online and ensure you submit accurately for the best possible outcomes.