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How to use or fill out unum long term care form with our platform
- Click ‘Get Form’ to open the unum long term care form in the editor.
- Begin by filling out your personal information in the 'Tell Us Who You Are' section. Include your full name, mailing address, contact number, date of birth, and policy number.
- In the 'Tell Us Why You Are Filing a Claim' section, clearly describe the medical condition(s) that necessitate assistance with Activities of Daily Living (ADLs) or supervision due to cognitive impairment.
- Proceed to the 'Tell Us About ADLs' section. Check all applicable ADLs where you require assistance, such as bathing, dressing, toileting, transferring, continence, eating, and ambulating/mobility.
- Complete the 'Tell Us About Your Need for Supervision' section by indicating if you have experienced a loss in intellectual capacity and specify why supervision is needed.
- Fill out your current living situation under 'Tell Us Where You Are Currently Living', providing details if you reside in a care facility or other location.
- Identify any additional care providers involved in your treatment in the relevant sections and ensure all required signatures are completed before submission.
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