You can apply for Temporary Disability benefits by mail. Complete instructions for filing your claim are included on the application. Read all of the instructions carefully before completing the claim form.
The application for benefits consists of three parts. It should be completed by you, your treating physician and the employers you have worked for in the last six months. If the claim is submitted to us with missing information or without information from your physician or employers, it will take longer to process. The claim must be submitted to our office within 30 days of your first day of disability. If you mail a claim late, provide a written explanation as to why the claim was delayed.
You must include your name and Social Security number on all forms and correspondence.