Help insurance members file a disability claim online with FormCan Disability Claim Form template. We built a simple web form you can use and share with any of your insurance members who are not able to go to work due to accident, illness, and pregnancy. This template includes configurable sections asking for the insured member's claim details and other information such as personal information, physician or hospital information, and employment details. With the help of this online form, your members will be able to have their claims processed any time, anywhere. Publish your own disability claim form now!