DISABILITY INSURANCE CLAIM FORM - Companion Life 2026

1. Click ‘Get Form’ to open the DISABILITY INSURANCE CLAIM FORM - Companion Life in the editor.
2. Begin with Part I, entering your insured information. Fill in your name, ID number, date of birth, address, and sex. Ensure all fields are completed to avoid delays.
3. In Part II, provide physician information. Enter the date you were first treated for your disability and specify the nature of your disability. Include any hospitalization details if applicable.
4. Complete Part III by providing employer information. Confirm if there is a Workers’ Compensation claim and whether you are eligible for salary continuation or other benefits.
5. Review all sections for accuracy before submitting. Use our platform’s features to sign and distribute the form electronically for convenience.

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