Short Term Disability – Medical Report for Eligibility Review (Form 7A)

July 26, 2024
Categories: Forms Tags: Benefits, Employee (Current), Short-term Disability

Short Term Disability – Medical Report for Eligibility Review (Form 7A)

Purpose: Use this form to request medical eligibility for short-term disability coverage under the Disability Income Plan of North Carolina.

Questions? Contact Benefits through HR Connect.

Last Updated: August 14, 2024