Forms and Information
Click the links below to find and download the document or form you need. Adobe Acrobat Reader is required to view and print these documents. Some of these documents are quite large and may require longer download times.
Medical Expense Insurance
Get Companion Life's Medical Expense Insurance Claim Form
Short Term Disability Insurance - enrolled 1/1/2014 or later
The forms on below are for you if you enrolled January 1, 2014 and later, OR if you converted your Option 30, Option 60, or Option 90 plan to one of the new plans that became available January 1, 2014.
- FedAdvantage - Provides program details – STD coverage
- Judiciary - Provides program details – STD coverage
- FedAdvantage – File for Short-Term Disability Benefits
- Judiciary - File for Short-Term Disability Benefits
Long-term Disability Program - Coverage effective after 1/1/2014 ONLY
- FedAdvantage - Provides program details – LTD coverage
- Judiciary - Provides program details – LTD coverage
Disability Insurance - enrolled before 2014
The forms on this page are for you if you enrolled prior to January 1, 2014 and you are currently covered under Option 30, Option 60, or Option 90.
Change Form & Cost Calculation Form
Long-Term Disability Claim Forms
Here you'll find forms if you enrolled in the Lincoln Financial Group Accident insurance program.
- Certificate for States: IN, CO, CT, NH, KS, NE
- Certificate for States: AL, AK, AR, AZ, CA, DC, DE, FL, GA, HI, IA, ID, IL, KY, LA, MA, MD, ME, MI, MO, MS, MT, NC, ND, NJ, NM, NV, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WI, WV, WY
- Claim Form - All States file for all accident benefits
Term Life Insurance
We are in the process of updating our life insurance forms. We apologize for any inconvenience this may cause. Please check back soon to retrieve your desired form. For questions please contact Customer Service at (866) 973-6605.