New york life waiver 2025

1. Click ‘Get Form’ to open the New York Life Waiver in the editor.
2. Begin by filling out the Insured’s Statement section. Enter your name, group number, address, and telephone number. Ensure all details are accurate.
3. Provide detailed disability information. Specify the nature of your disability, including when symptoms first appeared or how the injury occurred. Include dates related to your total disability.
4. Complete the Medical Information and Authorization section by listing all physicians and hospitals that treated you in the last five years. Sign to authorize release of information.
5. If applicable, have your attending physician complete their section of the form, ensuring they provide a thorough account of your medical condition and treatment history.

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