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Click ‘Get Form’ to open the New Jersey State Disability Claim in the editor.
Begin with the Employee’s Statement. Fill in your full name, Social Security number, and contact information. Ensure accuracy as this information is crucial for processing your claim.
Answer all questions regarding your disability status, including whether it is work-related and if you have filed for Workers’ Compensation. Be thorough to avoid delays.
In the Employment Information section, list all employers from the past 18 months. Include details such as employment dates and job titles.
Complete the Attending Physician’s Statement by entering your physician's details and ensuring they provide a diagnosis and treatment history.
Finally, sign and date the Authorization form to allow The Standard to obtain necessary information regarding your claim.

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What conditions automatically qualify for disability in NJ?

C10 - Request to Claimant for Information We send this form if your application is missing information, or if the information you provide doesnt match the statement of your medical provider and/or employer. We will tell you which question(s) you need to re-answer.

What are the most approved disabilities?

Overall, however, the most approved disability for Social Security is disabilities involving the musculoskeletal system and/or connective tissues. ing to the World Health Organization (WHO), such conditions include arthritis, back pain, and lupus.

What conditions qualify for disability in NJ?

Disability Evaluation Under Social Security Listing of Impairments - Adult Listings (Part A) 1.00. Musculoskeletal Disorders. 2.00. Special Senses and Speech. 3.00. Respiratory Disorders. 4.00. Cardiovascular System. 5.00. Digestive Disorders. 6.00. Genitourinary Disorders. 7.00. 8.00. Skin Disorders.

What illness automatically qualifies for disability?

Claimants are paid 85% of their average weekly wage, up to the maximum weekly benefit rate set for that calendar year. In 2024, the maximum weekly benefit rate is $1,055 per week. In 2025, the maximum weekly benefit rate is $1,081 per week.

How to file for disability in NJ?

Use Form DS-1, Claim for Disability Benefits, to claim disability benefits during unemployment. You may obtain this form from employers or from the Disability During Unemployment office (contact information is on the back of this pamphlet). Or you may download a form from our Website at .nj.gov/labor.

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