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How to use or fill out tdi 45 with our platform
- Click ‘Get Form’ to open the TDI-45 in the editor.
- Begin with Part A, Claimant’s Statement. Fill in your name, Social Security Number, and contact details. Ensure you select your sex and marital status.
- Provide detailed information about your disability, including its cause and the first day you were unable to work. Indicate if it was job-related.
- Complete employment information by entering your current employer's details, occupation, and earnings prior to the disability.
- In Part B, ensure your employer fills out their section accurately. This includes wage information and confirmation of employment status.
- Finally, have your physician complete Part C with their assessment and signature before submitting the form.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2011 | 4.8 Satisfied (115 Votes) |
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