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Case 1120089 Document 1472 Filed in TSB on 09/29/11-Page 1 of 9 Filed: 9/29/2011 Docket #1472 Date IN THE UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF TEXAS CORPUS CHRISTI DIVISION
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Gather the necessary information: Before starting to fill out the SDI - Certificate of, make sure you have all the required information at hand. This includes your personal details such as name, address, phone number, social security number, and date of birth. You may also need to provide your employer's information if applicable.
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Complete Part A - Claimant's Statement: In this section, you will need to answer various questions regarding your disability and work history. Provide details on your current employment status, your last day worked, and any wages you have received or expect to receive during your disability period. You may also need to disclose any other disability benefits you are receiving from sources like worker's compensation or private insurance.
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SDI - Certificate of Disability Insurance.
Employees who are unable to work due to a non-work-related illness, injury, or pregnancy.
The form can be completed online or on paper, providing details of the individual's medical condition and work status.
The purpose is to support employees who are unable to work by providing them with partial wage replacement benefits.
Information about the individual's medical condition, expected duration of disability, and work limitations.
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