Edit, Download, and Sign the Group Short Term Disability Claim Form - Guardian
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How do I fill this out?
To fill out the Group Short Term Disability Claim Form, gather the required information. Begin by entering the employee's personal details section. Make sure to complete all fields accurately to avoid processing delays.

How to fill out the Group Short Term Disability Claim Form - Guardian?
1
Gather necessary personal and employment information.
2
Fill out the employee section completely.
3
Provide detailed information about the disability.
4
Include information about any related compensation claims.
5
Review the form for accuracy before submission.
Who needs the Group Short Term Disability Claim Form - Guardian?
1
Employees who are unable to work due to illness or injury.
2
Employers needing to manage disability claims processes.
3
Human Resource departments for employee records.
4
Insurance agents assisting clients with claims.
5
Healthcare providers needing authorization to disclose medical information.
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1
Open the PDF in the PrintFriendly editor.
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Download the edited document for submission.

What are the instructions for submitting this form?
To submit this form, you may file your claim online at www.guardiananytime.com. Alternatively, send the completed form by fax to (610) 807-8270 or email it to group_std_claims@glic.com. You can also mail it to Group STD Claims, P.O. Box 14331, Lexington, KY 40512.
What are the important dates for this form in 2024 and 2025?
Keep an eye on the submission deadlines for 2024 and 2025. These dates will be critical for ensuring your claims are processed in a timely manner. Always verify with Guardian for the most current dates applicable to your situation.

What is the purpose of this form?
The purpose of this form is to initiate a claim for short-term disability benefits. It serves as a formal request to evaluate eligibility based on the submitted medical documentation and employment history. Properly completed forms help expedite the review and approval processes.

Tell me about this form and its components and fields line-by-line.

- 1. Employee Name: The full name of the employee submitting the claim.
- 2. Social Security Number: The employee's unique identification number for verification.
- 3. Employer Name: The name of the company where the employee works.
- 4. Diagnosis: Medical diagnosis provided by the attending physician.
- 5. ICD-10 Code: The code that corresponds to the medical diagnosis.
What happens if I fail to submit this form?
Failure to submit this form can lead to delays in receiving disability benefits. It is crucial to ensure all required fields are filled and relevant documents attached to avoid complications.
- Delay in Benefits: Missing information can result in a longer wait for disability payments.
- Claim Denial: Incomplete forms may lead to denial of the claim.
- Increased Stress: Not submitting on time can lead to financial stress and anxiety.
How do I know when to use this form?

- 1. Short-term Disability Claims: To apply for benefits when temporarily unable to work.
- 2. Accident-Related Claims: For claims resulting from workplace accidents.
- 3. Medical Recovery Period: When recovering from surgeries or serious illnesses.
Frequently Asked Questions
How do I fill out the STD Claim Form?
Complete all required fields, ensuring accuracy for smooth processing.
What should I do if I make a mistake?
You can easily edit the PDF and correct any inaccuracies before submission.
Can I submit this form online?
Yes, you can submit the claim form online at www.guardiananytime.com.
Who can help if I have questions about the form?
Customer service is available at 1-800-268-2525 for any questions.
What documents do I need to attach?
Attach any required medical records or documentation for your claim.
Is there a deadline for submitting the claim?
Ensure you submit your claim promptly to avoid any issues with your benefits.
Can I save my changes on the site?
You can download the edited file after making changes.
What happens after I submit the form?
You will receive confirmation and further instructions regarding your claim.
Can I share this form with my employer?
Yes, share the form directly through email or download it.
What if I need to revoke the authorization?
You can revoke it by sending a written request to Guardian.
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