Application Wizard

This option allows you to start your total and permanent disability (TPD) discharge application online. We’ll use your answers to specific questions to enter information into the application and then provide you with a partially completed application. We’ll provide the partially completed application to you in a PDF file that you can download and/or print.

After you print your partially completed TPD discharge application, you’ll need to complete Section 3 of the application. Next, you’ll either attach your supporting documentation to your application or have a physician complete Section 4 of your application. Finally, you’ll mail your discharge application and, if required, your supporting documentation to us.

Note: Your representative can complete and submit your TPD discharge application on your behalf, and assist you throughout the discharge process. However, you and your representative must complete an Applicant Representative Designation form. We must receive and process this form before we can work with your representative. You must submit this form even if you have a power of attorney for your representative.

To download and/or print the Applicant Representative Designation form, click here

Get started by selecting your role or intent

or by logging in here (if you are returning to a previously started application)
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