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Tment under Step 3, below, no later than 90 days after you are unable to perform the duties of your job. If you file beyond 90 days, attach a statement explaining why you were unable to file earlier. After you file your claim, a departmental representative will notify you if you are eligible for benefits. Follow the 3 steps below: Step 1. Answer all questions in Part A, Claimant s Statement. Make sure you sign your name, or if you are unable to, have a responsible person sign for you. Step 2.

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How do I file a TDI claim? Notify your employer immediately of your disability. Ask for Form TDI-45, Claim for TDI Benefits, from your employer. ... Complete Part A, Claimant's Statement, of the claim form. Take the form to your physician to certify your disability on Part C, Doctor's Statement.

The 2023 Maximum Weekly Benefit Amount for TDI is $765.00. For more information on TDI in Hawaii, employers may visit the DLIR Disability Compensation Division's webpages: About Temporary Disability Insurance and related Frequently Asked Questions. The 2023 Maximum Weekly Benefit Amount for WC is $1,090.00.

TDI Benefit provisions for 2023: 58.0% of employee's average weekly wages, up to a maximum of $765 per week. Benefits begin on the 8th day of illness or injury, following a seven consecutive day waiting period. A maximum of 26 weeks of paid benefits during a benefit year.

To be eligible for TDI benefits, an employee must have at least 14 weeks of Hawaii employment during each of which the employee was paid for 20 hours or more and earned not less than $400 in the 52 weeks preceding the first day of disability. The 14 weeks need not be consecutive nor with only one employer.

How do I file a TDI claim? Notify your employer immediately of your disability. Ask for Form TDI-45, Claim for TDI Benefits, from your employer. ... Complete Part A, Claimant's Statement, of the claim form. Take the form to your physician to certify your disability on Part C, Doctor's Statement.

The Hawaii Temporary Disability Insurance (TDI) requires employers to provide partial wage replacement insurance to their eligible workers for a non-work-related injury or sickness, including pregnancy.

TDI Benefit provisions for 2023: 58.0% of employee's average weekly wages, up to a maximum of $765 per week. Benefits begin on the 8th day of illness or injury, following a seven consecutive day waiting period. A maximum of 26 weeks of paid benefits during a benefit year.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232