Short Term Disability Claims Tracker

Short Term Disability Claims Tracker

This log can help you track unemployment benefits due to you during a period of short-term disability because of illness or injury. There is room to note your maximum daily and annual payment.

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Description

Short-Term Disability Claims

Fields: Injury, day rate, date of injury, annual max, date, week(s) claimed, paperwork submitted, benefit received, follow-up complete.

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