Nj Temporary Disability Template Access Nj Temporary Disability Editor Now

Nj Temporary Disability Template

The New Jersey Temporary Disability Form, officially known as the DS-1, serves as a critical tool for individuals who must stop working due to a disability. It outlines the claimant's rights, responsibilities, and the necessary steps to file a claim or appeal decisions regarding temporary disability benefits. Prompt and accurate completion of this form is essential to avoid delays in processing and ensure that benefits, if eligible, are received without undue holdups. For help filling out the form and to ensure timely benefits, click the button below.

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Table of Contents

The New Jersey Temporary Disability form serves as a pivotal document for workers facing a temporary inability to work due to illness or injury, not caused by their job. At its core, this form initiates the process of claiming disability benefits, detailing a claimant's rights and responsibilities. It underscores the urgency of filing the claim promptly, within 30 days from the start of the disability, to avoid delays or reductions in benefits. Furthermore, the form guides claimants through the appeal process if there is a disagreement with the claim's determination, stressing that legal representation is not mandatory. The document also emphasizes the importance of honesty in submitting information, disclosing all necessary details about other received payments which might affect the benefit eligibility, such as sick pay, pensions, and other disability or unemployment benefits. The requirement for ongoing medical certification, necessary updates about recovery or return to work, and the need for accurate personal information highlight the form's role in maintaining a transparent and efficient claims process. Assistance and additional information are made accessible through provided contact details, ensuring claimants can navigate their claim with the necessary support. Claimants are also made aware of the potential eligibility for Federal Social Security Disability Benefits in cases where the disability is expected to last a year or longer, further illustrating the comprehensive nature of the form in guiding individuals through their period of temporary disability.

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DIVISION OF TEMPORARY DISABILITY INSURANCE

CLAIM FOR DISABILITY BENEFITS (DS-1)

DETACH THIS PAGE AND KEEP FOR YOUR RECORDS

CLAIMANT RIGHTS AND RESPONSIBILITIES

RULES FOR FILING A CLAIM AND APPEAL RIGHTS

1.It is your responsibility to file this claim form promptly after you stop working due to your disability. Filing your claim before your last day of work will delay its processing. The law requires that claims must be filed within 30 days after the beginning of the disability. Benefits may be denied or reduced if the claim is filed late. If your claim is filed beyond the thirty day period, please use the space provided on the reverse side of Part A to give your reasons for the late filing.

2.If you disagree with a determination on your claim and wish to appeal, you must do so in writing within ten days from the date the decision was mailed. You do not need a lawyer at the appeal hearing.

CLAIMANT RESPONSIBILITIES:

1.Your signature certifies that you understand any misrepresentation of fact or failure to disclose a material fact may be punishable under the law. This includes any changes to the Medical Certificate or the Employer’s Statement made by you without authorization by your physician or your employer.

2.You must inform us of any other payments you are receiving such as sick pay or wages, a pension from your last employer, worker’s compensation benefits, Social Security Disability benefits, or disability benefits from your employer or union.

3.If you receive a request for continued medical certification (Form P30), you must have your physician complete and sign the form. You should return it promptly.

4.When you recover or return to work, you must report this date immediately to the Division of Temporary Disability Insurance.

5.If you are requesting voluntary Federal Income Tax (F.I.T.) deductions to be withheld from your disability benefits, attach Form W-4S (Request for Federal Income Tax Withholding From Sick Pay) to your claim. Forms should be obtained from your employer or the Internal Revenue Service.

6.If your home and/or mailing address changes, you must notify the Division of Temporary Disability Insurance, PO Box 387, Trenton, NJ 08625-0387 immediately in writing. Notification must include your Social Security Number and signature.

CLAIM ASSISTANCE:

If you require any assistance with your claim, call:

Customer Service Section (609) 292-7060.

Telecommunication Device for the Deaf (TDD) (609) 292-8319

New Jersey Relay Service: TT user 1-800-852-7899

Voice User: 1-800-852-7897

Important: Please allow fourteen (14) days processing time before inquiring about your claim.

Division of Temporary Disability Insurance FAX number: (609) 984-4138

For additional information about the Temporary Disability Benefits Program, visit our website at: www.nj.gov/labor

NOTE: If your disability is expected to last for one year or longer, you may be eligible for Federal Social Security Disability Benefits.

Toll Free number for Social Security: 1-800-772-1213.

Please print or type your Social Security Number CLEARLY. An incorrect or illegible number will cause a delay in processing your claim.
You must complete this item. If your answer to this question is “No,” you must complete Items 10 and 11 and give your country of origin.
Please give exact dates. Remember to include the dates of any Emergency Room care you may have received for this disability. If available, provide proof of emergency room care.
List the name and address of the physician who treated you for this disability. You must be under the care of a legally licensed physician, dentist, optometrist, podiatrist, practicing psychologist, chiropractor or advanced practice nurse. If you have been treated by more than one physician, use the additional space provided on the reverse side of Part A to list their names and addresses.
Starting with your most recent employer, list all employers, including those for whom you worked part-time, for the last 18 months. If you had more than two employers, list the others with the dates you worked in the space provided on Part A1. Give business names and addresses as they appear on your pay envelopes, pay checks, employers’ stationery or as listed in the telephone book.
Include your full name and complete address (this information is required). If your mailing address is different than your home address, be sure to complete Item 6.

READ THE FOLLOWING INSTRUCTIONS BEFORE COMPLETING THE ATTACHED FORM,

CLAIM FOR DISABILITY BENEFITS – DS-1

1.Complete both sides of the claimant’s portion of this form (Part A & A1.) YOU ARE RESPONSIBLE for having Part B completed by your doctor and Part C by your last employer. If you have worked for more than one employer during the past year, you may copy Part C for completion by the other employer(s) to avoid processing delays. Any missing or incorrect entries on this form will delay processing of your claim. If you cannot have Parts B and/or C completed timely, complete Part A and A1 and return the application as soon as possible.

`

REMEMBER SENDING IN SEPARATE PARTS OF THE APPLICATION WILL DELAY YOUR CLAIM. NOTE: IF YOU CHOOSE TO FAX THIS FORM TO OUR OFFICE, BE SURE TO COPY THE BACK SIDE OF EACH PAGE AND FAX ALL FOUR PAGES AND ANY OTHER ATTACHMENTS. MAIL OR FAX PART A, PART A1, PART B AND PART C TOGETHER TO:

Division of Temporary Disability Insurance PO Box 387

Trenton, NJ 08625-0387

FAX No: (609) 984-4138

2.Read all questions carefully! Print or write clearly since this information is used to determine your right to benefits. If you need any assistance in completing this form, please call the Customer Service Section in Trenton at (609) 292-7060 and hold for an agent.

3.BE SURE TO WRITE YOUR SOCIAL SECURITY NUMBER AND NAME ON EACH PORTION OF YOUR CLAIM.

Instructions For Part A and A1 – Claimant’s Statement – Please complete all questions Items 1, 4 & 6

Item 3

Item 9

Items 12 –15

Item 18

Item 19

Part A1

In the event that you are unable to telephone our agency, you may designate a

Item 1 representative in this space to obtain information on your behalf. If there is no one listed, only YOU will be able to obtain information on your claim from this agency.

Item 2 Sign and date the claim form. Include your telephone number.

Important: We suggest that you keep a copy of the completed claim form for your records.

STATE OF NEW JERSEY – DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT

DIVISION OF TEMPORARY DISABILITY INSURANCE

PART A

INFORMATION TO BE COMPLETED BY THE CLAIMANT – Print or Type

WDS-1(R-3-11)

1. Name: Last

First

Middle

 

2. Birth Date

 

 

 

 

 

|

|

 

 

 

 

 

 

4. Home Address – required (Street, Apt #, City, State, Zip Code)

3.Social Security Number

| |

5. County

6. Mailing Address – if different (Street, Apt #, City, State, Zip Code)

 

 

7.Male

 

8. Occupation

 

 

 

 

 

 

 

Female

 

 

 

 

 

 

 

 

 

 

 

9. Are you a citizen of the United States? Yes

No

 

10. Alien Reg. No.

11. Work Authorization

 

If NO, answer #10 & 11 and give country of origin: ______________

 

 

From ___________ To ___________

 

 

 

 

 

 

12a. What was the last day that you actually worked before your disability began?

Month

Day

Year

12b. Reason for separation:

Illness/Accident/Maternity

Terminated

Quit

 

 

 

 

 

13. What was the first day you were unable to work due to present disability:

 

 

 

 

 

 

(Include Saturday, Sunday, or Holiday) Do not list future dates

 

 

 

 

 

 

14.If you have recovered or returned to work from this disability, list date:

(Do not use dates in the future)

15. Date(s) of emergency room care:__________________ or hospitalization: From ___________________ To ___________________

Month/Day/YearMonth/Day/Year Month/Day/Year

16. Describe your disability (How, when, where it happened) _________________________________________________________

________________________________________________________________________________________________________________________________________

17. Was this injury/illness caused by your job?

Yes

or

No

If Yes, date of work related injury/illness:_________________

 

 

Was your employer notified that your injury was caused by your job?

 

Yes

(This question must be answered.)

or No

18. Identify the physician or hospital treating you for this disability: Name: ________________________________________________

Address: ____________________________________________________________ Telephone: (_____)_________________________

Employment Information – Beginning with your last employer, list all employment (both full and part-time) in the past 18

months. If you had more than 2 employers, list the remaining employers on the reverse side of this form in the space provided.

19a. Name and address of your most recent employer:

Period of employment: From _______________ To_____________

__________________________________________________

month/day/year

month/day/year

 

 

 

__________________________________________________

Work

 

Telephone: ____________________ Location _________________

(Street)

(City)

(State) (Zip)

City

State

 

 

 

 

 

 

 

 

Occupation: ________________________________ Full time

Part time

Union _____________ Division___________________

Check the days of the week you normally work. SUN

MON

TUE

WED

THUR

FRI

SAT

19b. Name and address:

__________________________________________________

__________________________________________________

(Street)

(City)

(State)

(Zip)

Period of employment: From _______________ To____________

month/day/year month/day/year

Work

Telephone: ____________________ Location _________________

City State

Occupation: ________________________________ Full time

Part time

Union _____________Division___________________

Check the days of the week you normally work. SUN

MON

TUE

WED

THUR

FRI

SAT

20.Other Benefits – You Must Answer Each Question Listed Below For the Period of Disability Covered By This Claim:

a. Have you worked after your disability began? (Including self-employment)

Yes

No

b. Have you been receiving sick or vacation pay?

Yes

No

c. Have you been involved in a labor dispute?

Yes

No

21. Since your last day of work have you received, claimed or applied for: d. Any other disability benefits provided by your

a. Federal Social Security Disability Benefits?

Yes

No

employer or union?

Yes

No

b. Pension benefits from your most recent employer? Yes

No

e. Unemployment Insurance Benefits? Yes

No

c. Temporary Disability Benefits from another State? Yes

No

 

 

 

BE SURE TO COMPLETE AND SIGN PART A1

WDS-1 (R-3-11)

Claimant’s Name:_________________________________________

Claimant’s Telephone No: (_____)___________________________

Social Security Number

| |

PART A1

CLAIMANT’S AUTHORIZATION AND CERTIFICATION STATEMENTS

MUST BE COMPLETED AND SIGNED BY THE CLAIMANT

 

1.Please designate a representative to obtain claim information for you if you cannot call this Agency yourself. The Law only permits claim information to be given to you or your representative.

Representative Name: ___________________________________________________Birth Date:_____________________________

Phone (______ )____________________________________

2.Certification and Signature I was unable to work during the period for which benefits are claimed and hereby certify that I have read and understand my benefit rights and responsibilities. I am aware that if any of the foregoing statements made by me are known to be false, or I knowingly fail to disclose a material fact, I may be subject to penalties, which may include criminal prosecution. You are hereby authorized to verify my Social Security Account Number, and obtain any medical, employment and Social Security benefit entitlement information that is necessary to determine my eligibility for benefits.

Sign Here ________________________________________________________________Date______________________________

Witness signature if claimant writes an “X” _______________________________________________________________________

Phone No. (_____)_____________________________ E-Mail Address _______________________________________________

Note: The NJ Temporary Disability Benefits Program is not a “covered entity” under the Federal Health Information Portability & Accountability Act (HIPAA). All medical records of the Division, except to the extent necessary for the proper administration of the Temporary Disability Benefits Law are confidential & are not open to public inspection. The Division protects all records that may reveal the identity of the claimant, or the nature or cause of the disability and the records may only be used in proceedings arising under the Law.

USE THIS SPACE TO LIST ADDITIONAL EMPLOYERS FOR QUESTION 19.

Name and address:

__________________________________________________

__________________________________________________

(Street)

(City)

(State)

(Zip)

Period of employment: From _______________ To____________

month/day/year month/day/year

Work

Telephone: ______________ Location ______________________

City State

Occupation: ________________________________ Full time

Part time

Union _____________Division___________________

Check the days of the week you normally work. SUN

MON

TUE

WED

THUR

FRI

SAT

Name and address:

__________________________________________________

__________________________________________________

(Street)

(City)

(State)

(Zip)

Period of employment: From _______________ To____________

month/day/year month/day/year

Work

Telephone: ______________ Location ______________________

City State

Occupation: ________________________________ Full time

Part time

Union _____________Division___________________

Check the days of the week you normally work. SUN

MON

TUE

WED

THUR

FRI

SAT

USE THIS SPACE TO PROVIDE ANY ADDITIONAL INFORMATION FOR QUESTIONS ON PART A

_____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

_____________________________________________________________________________________________________________

If more space is needed, attach an additional sheet of paper. Be sure your Social Security Number appears on all pages.

WDS-1(R-3-11)

Claimant’s Name: ________________________________________________

Claimant’s Address:_______________________________________________

Claimant’s Telephone No:(_______)__________________________________

Social Security Number

| |

PART B

MEDICAL CERTIFICATE

(TO BE COMPLETED BY YOUR DOCTOR AFTER YOU BECOME DISABLED)

1a. Patient has been under my care for this period of disability: FROM ____________________ TO __________________________

(Month/Day/Year) (Month/Day/Year)

b.Frequency of treatment: ___________________________________

c.

Patient was last treated by me on:

____________|___________|_________

 

 

Month

Day

Year

2.

Enter the date the patient was unable to perform his/her regular work due to this disability: _______|___________|_________

 

 

Month

Day

Year

3.

Estimated Recovery: (Give the approximate date patient will be able to return to work.)

____________|___________|_________

 

 

Month

Day

Year

4.

If now recovered, on what date was the patient first able to work?

____________|___________|_________

 

 

Month

Day

Year

5.Diagnosis: (nature and cause of this disability which prevents patient from working) ______________________________________

_____________________________________________________________________________ ICD Code: _____________________

Clinical data and tests to support diagnosis:__________________________________________________________________________

6a. If pregnancy, provide estimated date of delivery:

____________|___________|_________

 

Month

Day

Year

b.Complications, if any.____________________________________________________

c. If pregnancy terminated, enter the date:

 

 

____________|___________|_________

 

 

 

 

Month

Day

Year

And identify the reason:

Birth

C-Section

Miscarriage

Abortion

 

 

7a. Date(s) of emergency room care or hospitalization: FROM _________________________ TO _________________________

b.Name and address of any specialist treating patient: ____________________________________________________________

8.Type of surgery: _______________________ Date of Surgery __________________ Anticipated Surgery Date _________________

 

Is surgery for cosmetic purposes only?

Yes

No

 

 

 

 

9.

In your opinion, was this disability:

Due to an accident at work?

Not related to his/her work

 

 

Due to a condition which developed because of the nature of the work.

 

 

 

 

 

 

 

 

10.

Was this patient referred to you?

Yes

No

If yes, please supply the information below if available.

 

 

Name of referring doctor ______________________________Referring doctor’s telephone #:____________________

 

11. I certify that the above statements, in my opinion, truly describe the patient’s disability and the estimated duration thereof:

____________________________________________

_______________________________________ ______________________

 

(Print Doctor’s Name and Medical Degree)

 

 

(Original Signature of Doctor Required)

 

(Date Signed)

_______________________________________________________

_____________________________________________________

If Resident, check

(Address)

 

 

 

 

(Certificate License No. and State)

 

_______________________________________________________________

____________________________________________________________________

(Address)

 

 

 

 

 

(Specialty of Treating Physician)

 

______________________________________________________________

 

 

 

 

(City)

(State)

 

(Zip Code)

 

 

 

 

Telephone Number: (

)______________________________

 

FAX Number: (

)_______________________________

1. Claimant’s Name: _______________________________Clt’s Tele #(____)______________

Clt’s Address:__________________________________________________________________

SOCIAL SECURITY NUMBER

| |

PART C

 

 

TO BE COMPLETED BY YOUR EMPLOYER OR COMPANY REPRESENTATIVE

 

WDS-1(R-3-11)

2. EMPLOYER STATUS

 

 

 

 

 

 

 

 

 

 

8. BASE WEEKS AND BASE YEAR GROSS

What is your Federal Employer Identification Number: ___________________

 

WAGES A BASE WEEK is a calendar week in

3. PRIVATE PLAN COVERAGE (NJ approved plan/replaces State Plan coverage)

 

which the claimant had New Jersey earnings of $145

a. Do you have a New Jersey approved Private Plan?

 

 

Yes

No

 

or more during the Base Year. The BASE YEAR is

b. If “Yes”, is claimant covered under this approved Private Plan?

Yes

No

 

the 52 calendar weeks preceding the week in which

4. LAST ACTUAL DAY WORKED before this disability

 

 

 

 

 

the disability occurred.

 

 

 

(do not use payroll week ending dates)

 

 

______|______|______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Month

/

Day

/

Year)

 

a. Total Number of Base Weeks _______________

a. Reason for separation from work if other than

 

 

 

 

 

 

 

 

 

 

 

 

 

disability _____________________________________________________

 

b. Total Gross Wages in Base Year ____________

b. Is lack of work:

temporary?

permanent?

 

 

 

 

 

 

Include all wages earned by the claimant

c. Has claimant returned to work?

Yes

No

 

 

 

 

 

__________________________________________

If “Yes”, give date

 

 

 

 

 

_______|_____|______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Month

/

Day

/ Year)

 

9. REGULAR WEEKLY WAGE $_____________

d. If the work was intermittent, list dates:_______________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. CONTINUED PAY (do not enter wages earned prior to disability)

 

 

10. Weekly wages

 

 

 

 

a. Have you paid or expect to pay the claimant for any period after the last day

 

Indicate below: dates and claimant’s GROSS

of work?

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

earnings in N.J. employment during the listed

b. If “yes” give dates:

FROM ______|_____|_____ TO _____|_____|_____

 

calendar weeks.

 

 

 

 

 

 

 

 

 

(Month /

Day /

Year)

(Month / Day / Year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of

Calendar

 

 

Gross

c. Amount per week $______________, if amount varies attach list of dates

 

Calendar Week

Week

 

 

Wages

and amounts.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ending Date

 

 

d. Check the number that best describes the monies paid in item c.

 

 

 

 

Week Disability

 

 

 

 

1. Regular weekly wages and/or sick pay

 

 

 

 

 

 

 

Began

 

 

 

$

 

2. Regular vacation (if designated for a specific time period)

 

 

 

 

Week Before

 

 

 

 

3. Pension

 

 

 

 

 

 

 

 

 

 

 

 

Disability

 

 

$

 

4. Difference between regular weekly wage and disability benefits to be

 

 

 

 

 

 

 

 

2nd Week Before

 

 

 

 

received

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disability

 

 

$

 

5. Full salary advanced to effect #4 above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3rd Week Before

 

 

 

 

6. Supplemental benefits or gratuities

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disability

 

 

$

 

Note: Items 1, 2, and 3 may reduce benefits to the claimant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4th Week Before

 

 

 

 

6. GOVERNMENT EMPLOYEES (Complete this section)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disability

 

 

$

 

a. Payroll number (For N.J. State Employees) ________________________

 

 

 

 

 

5th Week Before

 

 

 

 

b. Number of earned sick leave days as of the last day worked. ___________

 

 

 

 

 

 

Disability

 

 

$

 

c. Has the claimant filed for or received Employment Disability Leave

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6th Week Before

 

 

 

 

(SLI)?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disability

 

 

$

 

d. If claimant has applied for or received donated leave, attach dates and

 

 

 

 

 

 

 

7th Week Before

 

 

 

 

amounts on a separate sheet of paper.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disability

 

 

$

 

7. WORKERS’ COMPENSATION LIABILITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8th Week Before

 

 

 

 

a. Did the claimant’s disability happen in connection with his/her work or

 

 

 

 

 

 

 

 

Disability

 

 

$

 

while on your premises, or was the disability due in any way to his/her

 

 

 

 

 

 

 

9th Week Before

 

 

 

 

occupation?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disability

 

 

$

 

b. If “Yes”, have you filed or do you intend to file a Workers’ Compensation

 

 

 

 

 

 

 

 

 

 

 

claim on behalf of this claimant?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10th Week Before

 

 

 

 

c. If “Yes,” list Workers’ Compensation insurance carrier below:

 

 

 

 

Disability

 

 

$

 

Name______________________________Telephone (

) _______________

 

 

 

 

 

 

 

 

TOTAL GROSS WAGES FOR

 

 

0

Address__________________________________________________________

 

 

 

 

ABOVE WEEKS

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Policy #_______________________ Claim #___________________________

 

Are you exempt from FICA tax?

 

Yes

No

 

 

 

 

 

 

 

 

 

11. Check the days of the week the employee normally works. SUN

MON

 

TUE

WED

THUR

FRI

 

SAT

Firm Name __________________________________________I CERTIFY THE INFORMATION GIVEN ABOVE IS CORRECT

Address ____________________________________________ Signed_____________________________Date___________________

City, State, Zip_______________________________________ Print or Type Name _________________________________________

Mailing Address, If Different____________________________ Official Title_______________________________________________

FAX No. ( ) _______________________ Telephone (

) _____________________E-Mail Address_______________________

Form Breakdown

Fact Name Description
Claim Filing Responsibility and Timing It is the claimant's responsibility to file the claim form promptly after ceasing work due to disability. The claim must be filed within 30 days from the onset of disability. Late filing may result in denied or reduced benefits.
Appeal Process for Determination If the claimant disagrees with a determination, an appeal can be filed in writing within ten days from the date the decision was mailed. Representation by a lawyer is not mandatory during the appeal hearing.
Reporting Requirements Claimants are required to inform the Division of Temporary Disability Insurance about any other payments received like sick pay, pensions from their last employer, worker’s compensation benefits, or any other disability benefits. Changes in addresses must also be reported immediately in writing.
Governing Law The New Jersey Temporary Disability Insurance claim process is governed by the New Jersey Department of Labor and Workforce Development regulations and complies with the Temporary Disability Benefits Law.

Guidelines on Filling in Nj Temporary Disability

Filling out the New Jersey Temporary Disability Form is a critical step for individuals who find themselves unable to work due to a disability. This process involves accurately completing several sections of the form to ensure that all required information is provided, which will assist in the evaluation and processing of the disability claim. Doing so promptly and thoroughly can help in receiving benefits with minimal delay. It’s important to follow each step carefully and provide as much detail as possible to support your claim.

  1. Start by gathering all necessary personal information, including your Social Security Number, which you must clearly print or type to avoid delays in processing your claim.
  2. Complete the Claimant’s Statement Part A and A1 on the form. This includes your full name, date of birth, home and mailing address, gender, occupation, and citizenship status.
  3. If you are not a U.S. citizen, provide your Alien Registration No., work authorization, and country of origin in items 10 and 11.
  4. Detail your last day of actual work before your disability started and the reason for separation (e.g., illness, accident, maternity) in items 12a and 12b.
  5. Specify the first day you were unable to work due to the present disability, and include any dates of emergency room care or hospitalization if applicable (items 13-15).
  6. Describe your disability, including how, when, and where it happened, in item 16. If your injury or illness was caused by your job, indicate this and provide the date of the work-related injury/illness in item 17.
  7. Identify the physician or hospital treating you for this disability, providing the name, address, and telephone number in item 18.
  8. List your most recent employer, including the period of employment, business name, address as it appears on pay envelopes or checks, and specify your occupation (items 19a and 19b). If you had more than two employers in the last 18 months, use the additional space provided on the reverse side of Part A.
  9. Answer questions about other benefits you may have received, claimed, or applied for during the period of disability covered by this claim (item 20).
  10. Designate a representative if you are unable to call the Agency yourself, providing their name, birth date, and phone number in Part A1, item 1.
  11. Sign and date the form in Part A1, item 2, certifying your understanding and acknowledgments. If the claimant cannot sign, a witness signature is required.
  12. Ensure that Part B is completed by your doctor, and Part C by your last or most recent employer. These parts are crucial for the processing of your claim.
  13. Mail or fax Parts A, A1, B, and C together to the Division of Temporary Disability Insurance at the address provided, ensuring that you include all pages of each part and any additional attachments.

Once you have completed and submitted your claim form, allow up to fourteen days before inquiring about its status. The Division of Temporary Disability Insurance offers assistance through their Customer Service Section if you have any questions or need help filling out the form. Keep in mind, accurately and promptly completing your claim benefits you by potentially speeding up the processing and approval of your disability benefits.

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How do I file a claim for Temporary Disability Benefits in New Jersey?

To file a claim for Temporary Disability Benefits in New Jersey, you must complete the Division of Temporary Disability Insurance Claim for Disability Benefits (DS-1) form. Make sure to fill out both sides of the claimant’s portion of this form, which includes Part A & A1. It is crucial to have Part B completed by your doctor and Part C by your last employer. If you’ve worked for more than one employer in the past year, you may need to copy Part C for each additional employer. After filling out the necessary parts, mail or fax them together to the Division of Temporary Disability Insurance. For assistance, call Customer Service at (609) 292-7060.

What is the deadline for filing a Temporary Disability claim?

Claims for Temporary Disability Benefits must be filed within 30 days after the beginning of your disability. Filing the claim form promptly after you stop working is your responsibility. Delayed submissions may result in denied or reduced benefits. If you submit your claim beyond the 30-day period, explain the reasons for the late filing on the reverse side of Part A.

What should I do if I disagree with the decision on my Temporary Disability claim?

If you disagree with a determination made regarding your Temporary Disability claim, you have the right to appeal. An appeal must be made in writing within ten days from the date the decision was mailed to you. It’s important to note that hiring a lawyer is not necessary for the appeal hearing. Follow the guidance provided in the decision letter to submit your appeal accordingly.

Can I have Federal Income Tax withheld from my Temporary Disability benefits?

Yes, if you wish to have Federal Income Tax (F.I.T.) deductions withheld from your Temporary Disability benefits, attach Form W-4S (Request for Federal Income Tax Withholding From Sick Pay) to your claim. Form W-4S can be obtained from your employer or the Internal Revenue Service. Indicating your desire for tax withholding can help manage your tax obligations on the benefits received.

What happens if my address changes while receiving Temporary Disability Benefits?

If your home and/or mailing address changes during the time you are receiving Temporary Disability Benefits, you must notify the Division of Temporary Disability Insurance at PO Box 387, Trenton, NJ 08625-0387 immediately in writing. Your notification must include your Social Security Number and a signature. Address changes should be communicated promptly to ensure important communications regarding your benefits reach you without delay.

Common mistakes

  1. Not filing the claim form promptly after cessation of work due to disability is a common mistake. The process is delayed if the claim is submitted before the last working day, and filing beyond the 30-day period from the onset of disability can lead to denial or reduction of benefits.

  2. Misunderstanding the appeal process can lead to missed opportunities for recourse. If individuals disagree with the decision on their claim, an appeal must be filed in writing within ten days of receiving the decision, a timeline that is often overlooked.

  3. Another error occurs when there is a failure to accurately disclose other received payments. It is crucial to inform about other benefits such as sick pay, pensions, worker’s compensation, or any disability benefits as failure to do so may affect eligibility and the amount of temporary disability benefits.

  4. Some claimants do not provide continued medical certification when requested. Ensuring that the physician completes and signs off on continued medical certification (Form P30) in a timely manner is essential for the continuation of benefits.

  5. Delayed reporting of recovery or return to work can affect the claim adversely. It is mandatory to report the date of recovery or the return to work to the Division of Temporary Disability Insurance immediately to avoid overpayments or fraud charges.

  6. Opting for Federal Income Tax (F.I.T.) deductions but failing to attach Form W-4S to the claim is another mistake. This form is necessary for voluntary tax deductions and should be obtained from the employer or the Internal Revenue Service and attached to the claim.

  7. Failure to notify the Division of Temporary Disability Insurance about changes in home or mailing address immediately in writing, including the Social Security Number and signature, can lead to communication issues and further delay the processing of the claim.

  8. Inadequate documentation and incomplete answers, particularly the medical certificate part and the employment information, are common issues. Every part of the form requires attention to detail, and missing or incorrect entries can significantly delay processing. Providing complete and precise information expedites the review process.

Documents used along the form

When applying for temporary disability benefits in New Jersey, several other forms and documents might be needed to ensure a comprehensive and well-supported claim. Understanding these additional documents can streamline the process and help claimants anticipate what other information they might need to gather. These documents are crucial in establishing the context and justification for the claim, substantiating employment and medical status, and providing necessary identification and financial details.

  • Medical Certificate (Form DS-1 Part B): This must be completed by a healthcare provider after the claimant becomes disabled. It includes information about the diagnosis, treatment, and expected recovery timeline.
  • Employer's Statement (Form DS-1 Part C): This form provides verification of the claimant’s employment status, job role, earnings, and last day worked. It is essential for establishing eligibility based on work history.
  • W-4S Form (Request for Federal Income Tax Withholding From Sick Pay): If a claimant wants federal taxes withheld from their disability benefits, this IRS form must be completed and attached to the claim.
  • Proof of Identity: A government-issued photo ID, such as a driver’s license or passport, may be required to verify the identity of the claimant.
  • Direct Deposit Authorization Form: Claimants looking to have their benefits deposited directly into their bank account will need to submit this form, which requires bank details such as the routing and account numbers.
  • Previous Year's W-2 Forms or Tax Returns: These documents may be necessary to verify past earnings and employment history, which can impact the benefits calculation.
  • Additional Medical Documentation: Additional records, including test results, specialist evaluations, and hospitalization records, may bolster the claim by providing further evidence of the disability and its impact on the claimant’s ability to work.
  • Power of Attorney or Legal Representation Documentation: If the claimant has a legal representative or has designated someone to act on their behalf, appropriate documentation must be provided to authorize this representation.

Collectively, these documents complement the New Jersey Temporary Disability form by providing a holistic picture of the claimant's situation. They ensure that the Division of Temporary Disability Insurance has a full understanding of each case, enabling a fair and accurate assessment of the claim. Assembling these documents promptly and accurately can significantly expedite the processing and approval of disability benefits.

Similar forms

  • The Federal Social Security Disability Benefits Application closely parallels the NJ Temporary Disability form in its necessity for detailed health and employment information to establish eligibility for benefits. Both documents require applicants to provide comprehensive medical history, employment details, and the reason for their inability to work, emphasizing the importance of these criteria in determining eligibility for disability benefits.

  • The Workers' Compensation Claim Form shares similarities with the NJ Temporary Disability form, as both involve reporting an inability to work due to medical reasons. Each form necessitates information about the medical provider, the nature of the injury or illness, and employment details to assess benefit entitlements, focusing on the connection between one's health and their workplace responsibilities.

  • Unemployment Insurance Application resembles the NJ Temporary Disability form in the way it requires personal identification, employment history, and the circumstances surrounding the applicant's current employment status. Although one addresses unemployment and the other disability, both solicit information to verify the applicant's eligibility for benefits.

  • The Family and Medical Leave Act (FMLA) Application is akin to the NJ Temporary Disability form, as both require medical certification to support the request for leave due to personal or family health conditions. Each document underscores the need for verifiable medical reasons to qualify for the leave or benefits requested.

  • A Life Insurance Claim Form also shares characteristics with the NJ Temporary Disability form since it frequently requires documentation of a medical condition or death. Both forms involve providing thorough personal and health information to process a claim, emphasizing the need for detailed and accurate records to support the claim.

  • The Disability Parking Permit Application can be compared to the NJ Temporary Disability form, with both necessitating medical certification to validate the need for the requested accommodation or benefit. They focus on how an individual's health condition affects their daily life, requiring detailed medical information to determine eligibility.

  • Medicare Benefits Application parallels the NJ Temporary Disability form in its collection of personal, health, and sometimes employment information to establish eligibility for medical benefits. Both forms serve as a gateway to obtain vital benefits based on health status and other qualifying criteria.

  • The Health Insurance Enrollment Form is akin to the NJ Temporary Disability form because it often requires applicants to disclose their medical condition to determine coverage eligibility or costs. While targeting different outcomes, both forms require personal and health-related information, highlighting the intersection of health status and benefit entitlement.

Dos and Don'ts

When you're filling out the New Jersey Temporary Disability Form (DS-1), there are specific do's and don'ts to be aware of to ensure a smoother process and to maximize your chances of receiving benefits without unnecessary delay. Here’s a straightforward guide on what you should and shouldn't do.

The Do's:

  • Do file your claim promptly: File the claim form soon after your disability begins to avoid delays or denial due to late filing.
  • Do read all questions carefully: Understanding every question ensures you provide accurate and complete responses, which is crucial for processing your claim.
  • Do provide detailed employment and medical information: Include all relevant job history and detailed medical information to support your claim, following the form's instructions.
  • Do report other benefits: Clearly disclose any other payments or benefits you are receiving, as this information is necessary for determining your eligibility and benefit amount.
  • Do keep a copy of the completed form: Having a copy of your claim can be very helpful for future reference or in case of any queries.

The Don'ts:

  • Don’t file before your last day of work: Filing before stopping work can delay the process; wait until after your disability begins to apply.
  • Don’t leave sections blank: Ensure every required section is filled out accurately. Missing information can lead to delays or denial of your claim.
  • Don’t underestimate the importance of deadlines: Be mindful of deadlines for filing and appeals to ensure your claim remains valid and is processed in a timely manner.
  • Don’t forget to sign the form: Your signature is crucial. It confirms that you have provided truthful information and fully understand your rights and responsibilities.

By following these do's and don'ts, you can navigate the process of applying for temporary disability benefits in New Jersey with confidence. Remember, accuracy, and timeliness are key when completing and submitting your DS-1 form.

Misconceptions

Understanding the New Jersey Temporary Disability Benefits form (DS-1) is crucial for claimants seeking benefits, yet misconceptions abound. Dispelling these myths is essential to ensuring individuals can effectively access their entitled support. Here are five common misunderstandings and the facts that counter them:

  • Myth 1: You can file your claim before your disability begins.

    Fact: The instructions emphasize that the claim for disability benefits should be filed promptly after you stop working due to disability. Filing prior to your last working day can delay processing. This directive ensures that benefits are provided only from the onset of disability, not before.

  • Myth 2: Legal representation is necessary for the appeals process.

    Fact: While claimants have the right to appeal a decision, hiring a lawyer for the appeal hearing isn't a requirement. The appeals process is designed to be accessible for individuals to proceed with or without legal representation, removing potential barriers to challenging decisions.

  • Myth 3: Claimants must physically mail or fax all parts of the application together.

    Fact: Although mailing or faxing Part A, Part A1, Part B, and Part C together can expedite the claim, the form does allow for parts to be sent separately if necessary. However, sending parts individually may delay the claim, so it's advised to submit everything in one package if possible.

  • Myth 4: Any adjustments to the Medical Certificate or Employer’s Statement can be made by the claimant if needed.

    Fact: Claimants are warned against making unauthorized changes to the Medical Certificate or Employer's Statement. Doing so without the authorization of a physician or employer is considered misrepresentation and can have legal consequences, highlighting the importance of accuracy and honesty in the filing process.

  • Myth 5: Your physician's signature isn't necessary on the continued medical certification form (Form P30).

    Fact: If you receive a request for continued medical certification, it's explicitly required that your physician complete and sign the form. This ensures that all medical information provided to support your claim is verified by a healthcare professional, which is crucial for the continuation of benefits.

Understanding these aspects of the New Jersey Temporary Disability Benefits form can significantly impact a claimant's ability to successfully file for and receive benefits. By clarifying these misconceptions, claimants can be better prepared to navigate the requirements and processes involved.

Key takeaways

Understanding the process of filing for New Jersey Temporary Disability Insurance benefits is crucial. These key takeaways can guide applicants through the essential steps and responsibilities involved. By staying informed, individuals can navigate the process more smoothly and ensure their claim is processed efficiently.

  • It is the responsibility of the applicant to file the claim form promptly after stopping work due to disability. Failure to file within 30 days after the disability begins might lead to denial or reduction of benefits.
  • The law permits appeals if there is disagreement with the claim's determination. An appeal must be filed in writing within ten days from when the decision was mailed, and representation by a lawyer is not required at the hearing.
  • Applicants must report any other income such as sick pay, wages, a pension, worker's compensation benefits, or other disability benefits. Failure to disclose other income might affect the claim.
  • Ensuring that the claim form is completed accurately and in its entirety is essential to avoid delays. Additionally, including accurate and up-to-date contact information, as well as promptly informing the Division of Temporary Disability Insurance of any changes in medical condition or return to work, is crucial.

Applicants are encouraged to seek assistance if they have questions or need help with their claim, by contacting the customer service section. Remember, accurate and timely submission of all parts of the application, including the medical certificate and employer's statement, is fundamental to receiving benefits with minimal delay.

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