Thank you for submitting your request. We will contact you with the outcome as soon as it is available. Please reach out to our member service team if we can be of any additional assistance to you.

Remember, if your request is due to a disability we request that you send documentation in the form of an affidavit from a physician which states that you are unable to work due to a disability or a medical condition that is not likely to improve within the next 12 consecutive months. Documentation can be sent via email to our member service team. Please reference this online request when submitting documentation. Evaluation of your disability waiver request will occur after the online form is submitted and documentation has been submitted via email.

Thank you!