Get Tdi Forms Hawaii

Navigating the process of filling out Tdi Forms in Hawaii can seem daunting, but it is straightforward once you understand the steps involved. This guide provides clear instructions to help you successfully complete your claim for temporary disability benefits.

Follow the steps to fill out the Tdi Forms Hawaii online:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Part A, Claimant’s Statement. Here, you will need to answer all questions accurately. Ensure that you provide your name, address, Social Security number, and telephone number. It's vital to sign your name; if you cannot sign, have someone responsible sign on your behalf.
3. Provide detailed information about your disability. Indicate what caused your disability, the first day you were unable to perform your job duties, and whether the disability is work-related. Also, indicate if you have recovered or returned to work.
4. Next, fill in your employment information including your department, work address, and prior employment details. Be sure to list your occupation, weekly hours, and wages earned before your disability.
5. In Part A (continued), report any additional benefits you are receiving or claiming alongside TDI benefits. This includes unemployment benefits, workers' compensation, and any other relevant financial support. Confirm if you have received TDI benefits for other periods.
6. Once you complete Part A, sign and date the form. If someone else is signing on your behalf, they must also provide their name and relationship.
7. Moving to Part B, have your doctor fill out and sign the Doctor’s Statement portion. This includes information about your diagnosis, treatment dates, and whether your disability was caused by your occupation.
8. Finally, ensure that the completed form is mailed to your department according to the instructions provided at the top of the form. Confirm that all required entries are filled before sending.
9. After completing the form, you can save your changes, download it for your records, print it for submission, or share it as needed.

Begin your claim process by completing the Tdi Forms Hawaii online today.