Disability Forms

Use these forms to notify TeamCare of a short-term disability, a continuation of disability and/or an extension of health coverage due to a non-work-related injury or illness or inability to work due to pregnancy.

Coronavirus Short-Term Disability Form

Short-Term Disability Initial Report of Disability

Short-Term Disability Continuation

Application for Extension of Coverage

The Family Medical Leave Act (FMLA) gives us rights to to take time off to care of our medical needs and our family members. 

Find out more here.