How to Complete an Online Application
Watch our step-by-step guides for completing an online application.
These tutorials walk you through each question with detailed instructions. Plus, you'll get helpful tips along the way.
Temporary Disability Insurance Application
This application is for:
- your own physical or mental health condition
- pregnancy and/or childbirth recovery
click here to watch an instructional videoWATCH THE VIDEO NOW >
Family Leave Insurance Application
This application is for:
- caregiving for an ill or injured loved one
- bonding for those who: (1) received pregnancy disability benefits through private insurance/employer (2) didn't receive pregnancy disability benefits at all or (3) postponed their bonding leave to a later date making it non-transitional
This application is not for:
- bonding immediately after receiving Temporary Disability Insurance pregnancy benefits; learn more here
- domestic/sexual violence claims; learn more here
click here to watch an instructional videoWATCH THE VIDEO NOW >