Forms – Companies and Groups
SINOT
- Authorization for Electronic Payments
- Employer Tax Guide
- Application for Disability Benefits
- Application for Extension of Disability Benefits
LIFE INSURANCE
- Claim Form – Group
- Evidence of Insurability
- Application for Accelerated Benefits
- Waiver of Premium Payment
SHORT-TERM DISABILITY (STD)
LONG-TERM DISABILITY (LTD)
- Application to Claim Group Disability Benefits
- Medical Report
- Employer Report
- Authorization to Request Medical Information
- Consent for Information Disclosure
- Resource Questionnaire
- Education, Training, and Work History
- Rehabilitation Survey
- Other Income Questionnaire
- Long-Term Disability Payment Options
- Social Security Information Disclosure
- Benefit Agreement
- Physical Requirements of the Supervisor Position
- Task Description
- Estimated Functional Capacity (Physical Condition)
- Mental State Supplementary Questionnaire
- Estimated Functional Capacity (Mental Condition)
- LTD Check List (revised)
