These forms are in either a .doc or .pdf file format. To read and print the .pdf you may need to download the latest version of Adobe® Acrobat® Reader (free) from the Adobe site.

All forms must be printed, completed and signed before submission to the Human Resources Department. Electronic submission of forms is not permitted, at this time.

Evidence of Insurability

Applications

Claims

Voya Group Number 362395

Claim Forms Library – Voya
Online Claim Form – Voya

Disability Claims must submit 3 Claims:

  • Claim for the Employee- Employee Completed
  • Claim for the Employer- Employer Completed
  • Claim for the Physician- Physician Completed

Service Requests

Equicor Life (Cigna) – Contact Putnam Human Resources, 706-485-5381

Colonial – Contact 800-325-4368

Continuation after Termination