Report Of Voluntary Plan Claim {DE 2523}

DE 2523, REPORT OF VOLUNTARY PLAN DISABILITY CLAIM. This form is used to report a disability claim made by an employee under the voluntary plan. The DE 2523 form collects information about the employee's disability, including the nature of the disability, the date it began, and the expected duration. The form also collects information about the employee's employment status, including their job title and the date they last worked. In addition to the employee's information, the DE 2523 form requires the employer to provide information about the voluntary disability insurance plan, including the name of the insurance carrier and the policy number. www.FormsWorkflow.com