Form preview

Get the free Individual Disability Insurance Application

Get Form
This document serves as an application for individual disability insurance with Principal Life Insurance Company and includes instructions for completion, submission requirements, and information
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign individual disability insurance application

Edit
Edit your individual disability insurance application form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your individual disability insurance application form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing individual disability insurance application online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit individual disability insurance application. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out individual disability insurance application

Illustration

How to fill out Individual Disability Insurance Application

01
Gather personal information including your name, address, and contact details.
02
Provide details about your occupation and employment history.
03
List any previous insurance policies and coverage you currently have.
04
Disclose any medical history, treatments, and doctors you have seen.
05
Indicate your desired coverage amount and benefit period.
06
Review your application for accuracy and completeness.
07
Submit your application to the insurance provider along with any required documentation.

Who needs Individual Disability Insurance Application?

01
Individuals who are employed and want to protect their income.
02
Self-employed individuals who need financial security in case of a disability.
03
Professionals in high-risk jobs who may face a greater chance of injury.
04
Parents or caregivers who wish to safeguard their family's financial stability.
05
Anyone who relies heavily on their income for living expenses.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
31 Votes

People Also Ask about

Short-term (STD) and long-term (LTD) disability insurance help protect your income by paying a monthly cash benefit if you are unable to work. LTD can be purchased individually through an agent or with a group plan via the workplace; STD is usually purchased as part of a group plan through the workplace.
Short-term (STD) and long-term (LTD) disability insurance help protect your income by paying a monthly cash benefit if you are unable to work. LTD can be purchased individually through an agent or with a group plan via the workplace; STD is usually purchased as part of a group plan through the workplace.
Only talk about illness or injury you can document with medical evidence. Do not exaggerate any disabling condition you have because it makes it look like you are faking it when you cannot back your claims with medical evidence.
To decrease the chances of receiving a denial on your application, avoid the following ten phrases when dealing with the SSA. “It's not that bad. “I'm getting better.” “I can work, but no one will hire me.” “It hurts.” “I'm not being treated.” or “I stopped treatment.” “I have a history of drug use/criminal activity.”
What Is the Most Approved Disability? Arthritis and other musculoskeletal system disabilities make up the most commonly approved conditions for social security disability benefits. This is because arthritis is so common. In the United States, over 58 million people suffer from the condition.
Claim for Disability Insurance (DI) Benefits (DE 2501) – English: You must submit an original form provided by the EDD, either electronically or through US mail. It cannot be downloaded or reproduced.
Your most valuable asset isn't your house, car or retirement account. It's the ability to make a living. Disability insurance pays a portion of your income if you can't work for an extended period because of an illness or injury. It's worth looking into if you rely on a paycheck for everyday and recurring expenses.
Individual disability insurance policies usually define disability as the inability to perform your own occupation, and may even relate to your particular occupational specialty. Individual disability insurance may also insure a portion of your income if you can perform some, but not all, of your regular job duties.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Individual Disability Insurance Application is a formal document that individuals complete to request coverage under a disability insurance policy. This application assesses the applicant's medical history, occupation, and lifestyle factors to determine eligibility and premium rates.
Anyone seeking individual disability insurance coverage, including self-employed individuals, employees, or business owners, is required to file an Individual Disability Insurance Application.
To fill out an Individual Disability Insurance Application, applicants should provide personal information, including name and address, employment details, medical history, and lifestyle habits. It is essential to answer all questions accurately and completely and sign the application.
The purpose of the Individual Disability Insurance Application is to evaluate the applicant's risk and eligibility for disability insurance coverage. It helps insurance companies make informed decisions about policy issuance and premium rates.
The information that must be reported on the Individual Disability Insurance Application includes personal identification details, employment information, health history, any existing medical conditions, and lifestyle choices like smoking or alcohol consumption.
Fill out your individual disability insurance application online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.