Disability Benefits Templates
Documents:
234
This form is used for applying for Article 14 disability retirement in New York.
PDF 
Word
This form is used for requesting preferred worker status in the state of Washington for individuals who speak Oromo.
This form is used for employers in New York who want to apply for voluntary coverage for a class of employees who are not required by law to have disability and paid family leave benefits. There is no employee contribution required.
This form is used for making an inquiry about VA benefits in Nevada.
This form is used by veterans to provide medical evidence about elbow and forearm conditions for their disability benefits claim. It contains specific questions about the frequency and severity of symptoms, impact on employment, and other related information.
This document is for applying for the Disability Rent Increase Exemption in New York City. It is available in Korean.
Use this form if you are the subject of overpayments and wish to have Social Security Administration (SSA) reconsider their decision about repayments.
