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Disability Claim Instructions - Prudential

Group Disability Insurance The Prudential Insurance Company of America Disability Management Services Box 13480, Philadelphia, PA 19176. Tel: 800-842-1718 Fax: 877-889-4885. Disability Claim Instructions Submitting The first three steps are required. a Claim 1. Notify your employer of your absence. Inform your employer that you'll be filing a Disability Claim . Ask your employer to complete the Employer's Statement and submit it to Prudential . 2. Complete all sections of the Employee's Statement and submit it to Prudential . (If you prefer, you may complete and submit the Employee's Statement online. Go to Your online submission will save time at the beginning of your Claim -filing process.)

Group Disability Insurance GL.2003.239 Ed. 2/2016 Page 1 of 5 The Prudential Insurance Company of America Disability Management Services P.O. Box 13480, Philadelphia, PA 19176

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