Disability Insurance Claim Verification Checklist

Personal Information

• Full name of claimant
• Date of birth
• Contact information
• Insurance policy number

Claim Details

• Date of claim submission
• Date of disability/incident
• Completed claim form

Medical Documentation

• Physician’s statement
• Relevant medical records
• Proof of diagnosis/disability

Employment and Income Details

• Employer’s statement
• Recent income records
• Job description
• Proof of work absence

Additional Verification

• Identification proof
• Other insurance coverage details
• Authorization to release information

Notes