Transcription of Temporary Disability Insurance Program
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Temporary Disability Insurance Program Division of Temporary Disability Insurance PO Box 387 Trenton, New Jersey 08625-0387 Claims Information: 609-292-7060 FAX: 609-984-4138 Temporary Disability Insurance Most workers whose employment is covered by the New Jersey Unemployment Compensation Law are also protected by a mandatory Disability Insurance system. Coverage is also extended to employees of the state of New Jersey; Rutgers, the State University of New Jersey; the University of Medicine and Dentistry of New Jersey; and the New Jersey Institute of Technology.
The Division of Temporary Disability Insurance will not send you a W-2 form. If you wish to have federal income taxes withheld from your disability benefits, you must attach Form W-4S (Request for Federal Income Tax Withholding from Sick Pay) to your claim. Form W-4S may be obtained from your employer or the Internal Revenue
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