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© Great-West Life 2009 - 2017
There are 2 methods of submitting your claim:
Submitting a claim for Short or Long Term Disability Income Benefits or Early Referral Services can be completed in three steps:
If you have any questions about submitting your document online, contact us at 1-855-755-6729.
Begin your short-term or long-term disability or early referral services claim.
Start your claim online
To submit a paper claim, print the employee statement below. This includes a guide to help you complete your employee statement, which can be faxed or mailed to your local Disability Management Services Office.
Attending Physician’s Statement
Print the Attending Physician’s Statement that applies to you. Have your doctor complete and sign the form and then fax or mail it to the appropriate Great-West Life Disability management Services Office.
Note: Any fees charged by your physician relating to the completion of claim reports including this Attending Physician’s Statement are your responsibility.