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Home depot short term disability 2025

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The document is a form for employees to request short-term disability benefits from Aetna due to illness or injury that extends beyond the waiting period. It requires completion of personal and employment information, details about the claim, tax withholding preferences, and an Attending Physician's Statement. The form also includes legal disclaimers regarding fraud and misrepresentation.

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Click ‘Get Form’ to open the Home Depot Short Term Disability form in the editor.
Begin by filling out the Employer Information section. Enter your name, control number, and the address of The Home Depot.
Next, complete the Employee Information section. Provide your Social Security Number, name, birthdate, address, and daytime telephone number. Indicate your basic income and employment status.
In the Claim Information section, specify if your absence is work-related and provide details about your illness or injury. Include expected return to work date.
Fill out Federal and State Income Tax Withholding Information as applicable. Specify any voluntary withholding amounts.
Sign the Release section authorizing information sharing with Aetna and ensure you understand its implications.
Finally, review all sections for accuracy before submitting the completed form via mail or fax as indicated.

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Versions	Form popularity	Fillable & printable
2018	4.7 Satisfied (45 Votes)
2018	4.3 Satisfied (49 Votes)
2014	4.5 Satisfied (48 Votes)
2008	4 Satisfied (54 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How can I use short-term disability at work?

To use short-term disability insurance, it must be determined that you cannot perform your normal job duties. A doctor or healthcare professional must provide a signed evaluation stating this. Your policy sets forth what illnesses and injuries qualify.

How to apply for the Home Depot disability program?

DISABILITY ASSISTANCE If you believe you need reasonable accommodations in order to search for a job opening or to apply for a position please contact us by sending an email to myTHDHR@homedepot.com. This email box is designed to assist job seekers who require reasonable accommodation to the application process.

What is Home Depot short-term disability?

What is disability coverage Home Depot? Сomplete the home depot short term for free Short-term disability insurance provides a portion of your income if you are temporarily unable to work because of a medical condition (including pregnancy) .

How much of short term disability do you get?

The benefit amounts and benefits periods for these state disability insurance programs are as follows: California State Disability Insurance. Benefit: 60-70% of wages to a maximum of $1,620 per week. Benefit period: Up to 52 weeks.

How do I calculate how much disability I will receive?

Although the amount varies, payments are generally around 60% of your previous wage. For example, if you were paid $2,000 per month at work and your policy pays 60% of your pre-disability earnings, your benefits amount will be $1,200 per month.

how much does home depot short term disability pay

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How much does STD pay in AZ?

Short-term disability is an income replacement benefit that provides a percentage of pre-disability earnings on a weekly basis when employees are out of work on a disability claim. It typically covers off-the-job accidents and illnesses that workers compensation would not cover.

How much does my short term disability pay?

Short-term disability insurance typically pays between 40-70% of your gross income until you return to work or until the end of your benefit period. Benefits periods typically last 13-26 weeks and not more than 1 year.