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Disability Claim Instructions Submit to Fort Dearborn Life Insurance Company Administrative Office: P.O. Box 655403 Dallas, Texas 75265-5403 Toll Free: (855) ERS-LIFE (377-5433) Fax # (972) 996-9361
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A disability application is a formal request made by an individual seeking to receive disability benefits from a government agency or insurance provider due to physical or mental impairments that limit their ability to work.
Individuals who have a disability and wish to apply for disability benefits or support are required to file a disability application.
To fill out a disability application, individuals need to provide personal information, medical history, details about their disability or impairments, and any supporting documentation. This application can usually be filled out online or obtained from the relevant government agency or insurance provider.
The purpose of a disability application is to formally request disability benefits or support from a government agency or insurance provider. It serves as a means for individuals to demonstrate their eligibility and provide necessary information to support their claim.
The information that must be reported on a disability application may vary based on the specific requirements of the government agency or insurance provider. Generally, it includes personal details, medical history, employment history, details of the disability or impairments, and any supporting medical documentation.
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