Long-Term Disability Insurance Documents

Long-term disability insurance application, flyer and privacy notice.

Publication Date: 04/21/2023
Document Type: Printed Forms and Templates
Sponsor: Employee Benefits

Summary
Please submit the application via Fax to (314) 622-4719 or e-mail at CityEmployeeBenefits@stlouis-mo.gov. Also please remember to remove Social Security Numbers, or to only include the last four digits.

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