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Disability Claim Form The instructions: 1. Pages 1 and 2 are to be completed by you, the employee; 2. Page 3 must be completed by the Group Policyholder (your employer); and, 3. Pages 4 and 5 must

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1. Start by reading the form instructions carefully to understand the requirements and purpose of the form.
2. Gather all the necessary information and documents needed to complete the form.
3. Begin filling out the form section by section, following the provided prompts and guidelines.
4. Provide accurate and truthful information in each field of the form.
5. Double-check all the entered information for errors or omissions.
6. If you are unsure about any section or question, seek clarification from the relevant authority or consult a professional.
7. Sign and date the completed form as required.
8. Make copies of the filled-out form for your records before submitting it.
9. Submit the filled-out form through the designated method as mentioned in the form instructions.
10. If applicable, pay any required fees or attach any supporting documents as specified in the form instructions.

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