Disability or Job Loss Claim Form 5534-2013 01-2025

1. Click ‘Get Form’ to open the Disability or Job Loss Claim Form 5534-2013 01 in the editor.
2. Begin with the Branch Statement section. Fill in the name of the insured, branch address, and contact details. Ensure all fields are completed accurately.
3. Proceed to the Claimant Statement. Enter your personal information including your name, mailing address, date of birth, and occupation at the time of disability or unemployment.
4. For Job Loss claims, list all employers from the past six months along with hours worked each week. For Disability claims, provide details about your last employer and hours worked.
5. Complete the Employer Statement by providing your employer's information and confirming employment details such as dates and reasons for discontinuation.
6. Finally, have your attending physician complete their statement regarding your condition and treatment history. Ensure they sign and date this section.
7. Once all sections are filled out completely, save your document and follow instructions to mail it to Creditor Customer Service.

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