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Information and Benefits ScheduleNONOCCUPATIONAL SHORT TERM DISABILITY BENEFIT (WEEKLY WAGE INDEMNITY) Effective March 23, 2020 / Revised April 14, 2023PLEASE READ THIS Brochure qualify for Short
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Obtain the non-occupational short term disability claim form from your employer or insurance provider.
02
Fill out the form completely and accurately, providing all required information such as personal details, employment details, and medical information.
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Attach any necessary documentation such as medical records or notes from your healthcare provider to support your claim.
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Submit the completed form and documentation to the appropriate party, following any specific submission instructions provided.

Who needs non-occupational short term disability?

01
Individuals who may need non-occupational short term disability include those who are unable to work due to a non-work-related illness or injury, such as a medical condition, surgery, or recovery from an accident.
02
It is also relevant for individuals who do not qualify for employer-provided sick leave or other benefits that cover short term disabilities.
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Non-occupational short term disability is a type of insurance that provides wage replacement benefits to employees who are unable to work due to a non-work related illness or injury.
Employees who are covered by non-occupational short term disability insurance are required to file a claim when they are unable to work due to a non-work related illness or injury.
To fill out a non-occupational short term disability claim, employees typically need to provide information about their medical condition, doctor's diagnosis, and expected duration of disability.
The purpose of non-occupational short term disability is to provide financial support to employees who are temporarily unable to work due to a non-work related illness or injury.
Information that must be reported on a non-occupational short term disability claim typically includes the employee's medical condition, doctor's diagnosis, and expected duration of disability.
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