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Disability or Job Loss Claim Form 5534-2013 01-2026
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- Click ‘Get Form’ to open the Disability or Job Loss Claim Form 5534-2013 01 in the editor.
- Begin with the Branch Statement section. Fill in the name of the insured, branch address, and contact details. Ensure all fields are completed accurately.
- 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.
- 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.
- Complete the Employer Statement by providing your employer's information and confirming employment details such as dates and reasons for discontinuation.
- Finally, have your attending physician complete their statement regarding your condition and treatment history. Ensure they sign and date this section.
- Once all sections are filled out completely, save your document and follow instructions to mail it to Creditor Customer Service.
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