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Flag Shorter Disability Insurance We've been dedicated to helping provide peace of mind and financial security for more than 60 years. A57675CAIC(8/16)DALLAS SHORTER DISABILITY INSURANCE Policy Series
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How to fill out ic816

01
To fill out IC816, follow these steps:
02
Begin by writing your name and contact information at the top of the form.
03
Provide the information required in Section A, including your social security number, date of birth, and email address.
04
If you are applying as a representative payee, complete Section B with the necessary details.
05
In Section C, indicate your medical condition and any impairments that are preventing you from working.
06
If you have received or are currently receiving worker's compensation or public disability benefits, provide the details in Section D.
07
Section E requires information about your education and work history.
08
Attach any relevant medical evidence supporting your disability claim in Section F.
09
Indicate any other factors affecting your ability to work in Section G.
10
Review the completed form to ensure all information is accurate and complete.
11
Sign and date the form at the bottom.
12
If you are submitting the form by mail, make a copy for your records before sending it to the appropriate Social Security Administration office.

Who needs ic816?

01
IC816 is required by individuals who are applying for Social Security disability benefits.
02
It is specifically designed for individuals who are unable to work due to a physical or mental impairment.
03
The form helps gather relevant information about the applicant's medical condition, work history, and other factors affecting their ability to work.
04
By completing IC816, applicants can provide the necessary details to support their disability claim and apply for the benefits they may be eligible for.
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