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Get Unum Cl-1158 2015
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How to fill out the Unum CL-1158 online
Filling out the Unum CL-1158 form is an important step in the process of applying for long-term care benefits. This guide provides clear and supportive instructions on how to correctly complete each section of the form to ensure a smooth submission.
Follow the steps to successfully complete your Unum CL-1158 form.
- Press the ‘Get Form’ button to access the Unum CL-1158 form online.
- Begin by filling out your personal information in the Individual Statement section. This includes your last name, first name, date of birth, social security number, and home address. Ensure all entries are accurate and legible.
- Indicate the location where you are currently residing by selecting an option such as your residence, nursing care facility, or other designated places.
- Provide details about your employment status and describe any medical conditions leading to your claim. Include specifics about your first symptoms and your primary medical condition.
- If applicable, complete the Cognitive Impairment section, detailing when you began to require supervision and the individuals providing that supervision.
- Fill out the ADL Loss section if claiming loss of ability in daily activities. Specify the assistance needed for each activity and provide the respective dates of when assistance began and is expected to end.
- List all relevant medical providers, including their contact information and your treatment history. This will help in the assessment of your claim.
- Complete the Attending Physician Statement portion, ensuring your physician fills it out accurately to support your claims for benefits.
- Review the entire form for any missing information or errors. Ensure the last page is signed and dated by you or your legal representative.
- Once completed, save your changes. You may then share, download, or print the form for your records or submission.
Complete your Unum CL-1158 form online today to start your long-term care benefits application process.
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The Unum survivor benefit is a provision that provides financial support to beneficiaries in the event of the policyholder's death. This benefit is an essential part of the Unum CL-1158 policy, designed to ensure loved ones are cared for. To navigate the specifics of these benefits, consider leveraging the tools and resources available on US Legal Forms.
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