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Forms & Downloads - Great West Life Printable Forms
Great West Life Printable Forms
Great West Life Long Term Disability


Long Term Disability Income Benefits

The plan member must complete the Employee Statement in order to claim for Long
Term Disability benefits. The plan member's physician must complete the Attending
Physician's Initial Statement Long Term Disability Income Benefits form. Download Form

Application for Group Long Term Disability Benefits – Employer's Statement
The plan sponsor must complete this form in order for the employee to claim for
Long Term Disability Benefits. Download Form

Employment & Insurance Information/ Job Description Long Term Disability
The plan sponsor must complete this form in order for the employee to claim for Long
Term Disability Benefits. Download Form

Notice of Return to Work Form
This form is used to submit information about a plan member who is returning to work
after a short-term or long-term disability absence. Download Form


 

 

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