Term claim application 2026

1. Click ‘Get Form’ to open the term claim application in the editor.
2. Begin with Section 1, where you will provide your personal information. Fill in your name, address, and contact details accurately. If a question does not apply, write 'NA'.
3. Move to Section 2, the Employee’s Statement. Answer all questions regarding your employment status and medical condition. Be thorough to avoid delays in processing.
4. In Section 3, the Employer’s Statement must be completed by your employer. Ensure they provide accurate details about your employment and insurance coverage.
5. Finally, complete Section 4 with your physician's input on your medical condition. This section is crucial for validating your claim.
6. Once all sections are filled out completely, save the document and either fax or mail it to the Claims Department using the provided contact information.

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