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DBL State Disability Claim Packet - NY, sny9457

SNY 9457 1 of 6 (8/12)Your New York State Disability Benefi t ClaimThis Packet contains the forms that will help us to process your Claim for New York State Disability Benefi ts. Please save a copy of this material for your future reference. For specifi c information about your New York State Disability Benefi ts coverage, please contact your employer s benefi ts administrator or call The Standard Life Insurance Company of New York s customer service line at To Apply For Benefi ts The New York State Disability Benefi ts application consists of the DB-450 form.

SNY 9457 1 of 6 (8/12) Your New York State Disability Benefi t Claim This packet contains the forms that will help us to process your claim for New York State Disability Benefi ts.

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