Forms Download

If you would like to download any of FEDERAL FIRST'S Long Term Disability (LTD) Insurance Program forms, you may do so by clicking on the links below. Adobe Acrobat Reader is required to view and print these documents. Please note that these documents are quite large and may require longer download times.

If you require additional assistance, please contact Customer Service.

Enrollment Brochure

Select the brochure for your agency

• Department of Justice
• Federal Judiciary
• Veterans Affairs

Booklet-Certificate

Select the booklet-certificate for your agency

• Department of Justice
• Veterans Affairs
• Federal Judiciary

Enrollment Form and Cost Calculation Worksheet

Select the form for your agency

• Department of Justice
• Federal Judiciary
• Veterans Affairs

Claim Forms

Select the forms for your agency

• Department of Justice
• Attending Physician Statement
• Employee Statement
• Employer Statement
• Federal Judiciary
• Attending Physician Statement
• Employee Statement
• Employer Statement
• Veterans Affairs
• Attending Physician Statement
• Employee Statement
• Employer Statement

Other Forms

• Group LTD Conversion Form
• FERS Flyer - Q & A