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The DS-1 form is used to apply for New Jersey Temporary Disability Benefits.
How do I submit my completed DS-1 form?
You can submit your completed DS-1 form either by faxing it to 609-984-4138 or mailing it to the Division of Temporary Disability Insurance at P.O. Box 387, Trenton, NJ 08625-0387.
What information do I need to provide in Part A of the form?
In Part A, you need to provide personal information such as your name, Social Security Number, date of birth, home address, and contact details.
Who needs to complete Part C of the DS-1 form?
Part C must be completed by your healthcare provider who has been treating you for your disability.
Is there a deadline for submitting the DS-1 form?
Yes, you must file your claim within 30 days from the first day of your disability. Late submissions may result in reduced benefits or denial.
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How long does it take for NJ temporary disability to be approved?
It can take a number of weeks to get approved or denied. Wait times vary and are longest when were working through a large volume of claims. We make every effort to reach a decision quickly. To speed up processing, make sure you dont miss any requirements when you apply.
How long does NJ take to approve a disability claim?
In New Jersey, this can take anywhere from three to five months, depending on the specifics of your case. If your claim is denied, you can appeal it. The waiting time for an initial appeal hearing can be upwards of a year. Once your disability claim is approved, it may be six months before you start receiving payments.
How do I file for temporary disability in New Jersey?
A person can apply online, or print a paper application (FL-1), and mail it back to us at Division of Temporary Disability Family Leave Insurance, P.O. Box 387, Trenton, NJ 08625-0387, or fax it to 609-984-4138. Instructions are included on the application.
How long does it take to process temporary disability in NJ?
It can take a few days if you applied online, or up to two weeks if you applied by mail or fax. Note: If you started an online application before your first day of leave, you may still need to complete the last step, called Certification.
What is the M10 form for temporary disability in NJ?
M10 - Request for Medical Information We will tell you which question(s) your medical provider needs to re-answer. What do I do with this form? We need this information to process your application. Your medical provider will have to answer all questions clearly, sign and date the form, and fax it to 609-984-4138.
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DS-1 - NJ.gov
This application (form DS-1) is for disability leave. If you wish to claim benefits for family caregiving or bonding, complete the application for Family Leave
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