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Aetna STD Disability Form 2026
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How to use or fill out the STD Disability Employee Request form online
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- Click ‘Get Form’ to open it in the editor.
- Begin with the Employer Information section. Fill in your employer's name, control number, and address including ZIP code.
- Next, move to the Employee Information section. Enter your Social Security Number, name, birthdate, and address. Indicate if your employment has terminated or if you are currently on layoff.
- In the Claim Information section, specify whether your absence is work-related and provide details about any accidents. Describe the nature of your illness or injury and state your expected return to work date.
- Complete the Release section by signing and dating it. Ensure that all information is accurate as it will be used for claim evaluation.
- Finally, review all sections for completeness before submitting the form back to your employer via mail or fax.
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