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Click ‘Get Form’ to open the Unum Short Term Disability Claim Form - ccrta in our platform.
Begin by filling out the Employee/Individual Statement on pages 3-5. Provide your personal information, including your name, date of birth, and social security number. Ensure all fields are completed legibly.
In section B, detail the condition(s) causing your disability. Answer questions regarding pregnancy, illness, or injury as applicable.
Complete section C with information about your disability, including the date you last worked and any medical treatment providers you have seen.
Proceed to section E to disclose any other sources of disability income that may affect your claim.
Finally, sign and date the Employee/Individual Authorization on the last page to allow for necessary information sharing.

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How to file a short term disability claim with Unum?

The easiest way to file a claim or leave with Unum is online or with the mobile app. If your claim is for Disability Insurance benefits, check with your HR department at work to find out whether you can file over the phone. For all other benefits, you can call 1-800-635-5597 to file your claim.

How long does Unum take to approve short-term disability?

How Disability Insurance compares Group Short TermIndividual Commonly used by people who experience Pregnancy Injuries Joint disorders Digestive issues Cancer Musculoskeletal issues Cancer Back disorders excluding injury Cardiovascular disease Nervous system disorders Behavioral health issues3 more rows

How does Unum pay out short-term disability?

Unum may deny your disability claim for various reasons. These can include insufficient medical evidence supporting your disability and restrictions, the opinion of medical or vocational experts hired by Unum stating that you are not truly disabled, or policy exclusions for your specific medical condition.

How do I file a short term disability claim with Unum?

Unum has developed a secure and easy way for you to submit and manage your claim online via our secure website at .unum.com/claimant. Our secure web services allow you to access and make changes to your open claims, as well as view updates and available correspondence.

What conditions qualify for Unum short-term disability?

Common challenges claimants may experience include: Issues with medical records and information. It is not uncommon for Unum to disregard your doctors statements about your inability to work. In some cases, Unum will use a doctor that it chose to interpret your records to their benefit.

unum short term disability claim form pdf

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Unum Short Term Disability Claim Form - ccrta 2025

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How to file a short term disability claim with Unum?

How long does Unum take to approve short-term disability?

How does Unum pay out short-term disability?

How do I file a short term disability claim with Unum?

What conditions qualify for Unum short-term disability?

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Unum Short Term Disability Claim Form - ccrta 2025

Here's how it works

How to use or fill out Unum Short Term Disability Claim Form - ccrta with DocHub

Complete this form in 5 minutes or less

Got questions?

How to file a short term disability claim with Unum?

How long does Unum take to approve short-term disability?

How does Unum pay out short-term disability?

How do I file a short term disability claim with Unum?

What conditions qualify for Unum short-term disability?

unum short term disability claim form pdf

unum short term disability form pdf

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