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1. www.nj.gov › labor › forms_pdfsDS-1 New Jersey Temporary Disability Insurance Application

   www.nj.gov › labor › forms_pdfs

   New Jersey – Temporary Disability Insurance Application. You are responsible for having your healthcare provider and employer complete Parts B & C of this application. Print clearly and answer ALL questions or your benefits may be delayed. WDS-1 (1/17) Name: Last First Middle.

   • File Size: 336KB

   • Page Count: 5

2. www.nj.gov › labor › myleavebenefitsDivision of Temporary Disability and Family Leave Insurance ...

   www.nj.gov › labor › myleavebenefits

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   Information for Workers. Print an Application. Start here to apply by mail or fax. Printable application forms can be mailed to the address or faxed to the number on on each form. Note: Only applications submitted online will get confirmation of receipt. DOWNLOAD NOW > Print and Application.

3. www.nj.gov › worker › resourcesDivision of Temporary Disability and Family Leave Insurance ...

   www.nj.gov › worker › resources

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   After you complete your portion of an online application, you will be prompted to download and print the Medical Certificate (M01) form to take to your medical provider. This form includes instructions and a unique Online Form ID number so your medical provider can complete the medical certificate online.

4. People also ask

   How do I apply for disability benefits in New Jersey?

   • The quickest way to apply for benefits is to complete the online application at MyNJHelps.gov. Applicants may also call our Call Center at 732-745-3500 for a mail in application. Elderly or disabled individuals may also have another person, friend or relative (called an Authorized Representative), apply on their behalf.

   Applications – Middlesex County Board of Social Services

   middlesexsocialservices.com/applications/

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   How do I get temporary disability benefits in New Jersey?

   • Eligible employees can get temporary disability benefits through the state-run program or an employer's approved private short-term disability insurance plan. New Jersey's TDI program covers disabilities (including pregnancy) that are not work-related.

   New Jersey Short-Term Disability and Pregnancy

   www.disabilitysecrets.com/resources/disability/short-term-disability-laws/new-jersey.htm

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   What is the New Jersey disability program?

   • Like most other disability insurance policies, this is no different when it comes to the basics. The New Jersey disability program offers supplementation of income, which comes out to be two-thirds of your average weekly pay rate. The maximum weekly benefit the New Jersey disability program paid out in 2019 was $650.

   New Jersey Disability Insurance Program - Trusted Choice

   www.trustedchoice.com/disability-insurance/programs/state/new-jersey/

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   What if I can't call NJ temporary disability benefits?

   • You may designate a representative to obtain claim information for you if you cannot call us yourself. The law permits us to give claim information only to you or your representative. Note: The NJ Temporary Disability Benefits program is not a “covered entity” under the Federal Health Information Portability and Accountability Act (HIPAA).

   DS-1 New Jersey Temporary Disability Insurance Application

   www.nj.gov/labor/forms_pdfs/tdi/DS1 with instructions (r. 2-17).pdf

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5. www.nj.gov › labor › myleavebenefitsDivision of Temporary Disability and Family Leave Insurance

   www.nj.gov › labor › myleavebenefits

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   New Jersey's Temporary Disability and Family Leave insurance programs - get more information, check claim status, or apply for benefits.

6. tdi.dol.state.nj.usDivision of Temporary Disability and Family Leave Insurance

   tdi.dol.state.nj.us

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   Family Leave Insurance. You may apply for Family Leave Insurance benefits if you are bonding with a newborn, newly adopted, or newly placed foster child. You may also apply if you are caring for a loved one with a serious physical or mental health condition, or to handle certain matters related to domestic or sexual violence. LEARN MORE >.

7. www.nj.gov › labor › claimsApply for Social Security Disability Benefits

   www.nj.gov › labor › claims

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   To file an application for disability benefits, you may complete the Social Security Administration’s online disability application. You may also visit a local Social Security Office or call the Social Security Administration’s toll-free number at 1 (800) 772-1213.