This is a legal form that was released by the South Carolina Public Employee Benefit Authority - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form SI3379?
A: Form SI3379 is the Employee's Statement for Long TermDisability Benefits in South Carolina.
Q: Who is this form for?
A: This form is for employees in South Carolina who wish to apply for long term disability benefits.
Q: What is the purpose of this form?
A: The purpose of this form is to provide information about the employee's disability and work history to support their application for long term disability benefits.
Q: What information is required on this form?
A: The form requires information such as the employee's personal details, employment history, details of the disability, medical treatment received, and other relevant information.
Q: Are there any supporting documents required with this form?
A: Yes, the employee will need to provide supporting documents such as medical records, treatment plans, and any other documents that help establish the disability.
Q: How long does it take to process the application?
A: The processing time can vary, but it is generally advisable to submit the application as soon as possible to avoid any delays in receiving benefits.
Q: Who can I contact for more information?
A: For more information, you can contact your employer's HR department or the long term disability insurance provider.
Form Details:
Download a fillable version of Form SI3379 by clicking the link below or browse more documents and templates provided by the South Carolina Public Employee Benefit Authority.