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You can download, print, and fill out a paper application (DS-1), and mail it to us at: Division of Temporary Disability Insurance, P.O. Box 387, Trenton, NJ 08625-0387, or fax it to 609-984-4138.
It can take two to six weeks to approve a claim and pay benefits, once we have a complete application. prior to the start of your claim; stop working due to an illness/injury that is not caused by your job; and \u2022 be under the care of a licensed medical provider.
You may be eligible for Temporary Disability Insurance benefits if your physical or mental illness or injury prevents you from working and was not caused by your work, or if you are at high risk for COVID-19 due to underlying health conditions.
M10 - Request for Medical Information We send this form if your application is missing medical information, if the medical information needs further review, or if your statement conflicts with your medical provider's statement. We will tell you which question(s) your medical provider needs to re-answer.
You can get benefits for up to 26 weeks. This means that even if your injury or illness lasts more than 26 weeks, your benefits will stop. However, if you suffer a new disabling medical condition and apply for TDI, the 26 weeks will start again.
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In order to be eligible for permanent total disability benefits, you must show that your specific injuries prevent you from returning to any type of gainful employment. This is slightly different from the standards for receiving Social Security disability benefits, which require demonstrating total disability.
The amount you receive will be based on your income, resources, and living arrangements. For 2021, the total amount a single individual could receive, including both federal and state benefits, is $825.25. If you live with a spouse that is not eligible to receive SSI, the monthly amount increases to $947.00.
Claimants are paid 85% of their average weekly wage, up to the maximum weekly benefit rate set for that calendar year. In 2021, the maximum weekly benefit rate was $903 per week. In 2022, the maximum weekly benefit rate is $993 per week.
Form #E-10 \u2014 Certificate of Qualification.
The weekly benefit amount is calculated on the basis of your average weekly wage. If eligible, you will be paid two-thirds of your average weekly wage up to the maximum amount payable, which is $637 for disabilities beginning on or after January 1, 2018.

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