EMBA STDI Forms

STDI Forms

If you have any questions concerning your Short term disability insurance plan, please call +1 (414) 221-4340 or +1 (414) 221-3392.
You can also email [email protected], and an application, or the form you require, will be mailed to you.

Our Mailing Address:

231 W. Michigan St., P244
Milwaukee, Wisconsin 53203, US

Phone: +1 (414) 221-4340 or +1 (414) 221-3392
Fax: +1 (414) 221-2559

Note: Claim forms must be requested directly from our office, by phone, or via email. Claim forms are not available for download. Email [email protected] or [email protected]

Classification's Information:
To ascertain your job classification, the following explanations can help. However, call the EMBA Office or email us if you are unsure.

A Classification
Occupations in which the employee is primarily involved with sedentary work, occasionally lifting objects weighting 10 - 15 lbs, and/or light physical activities such as bending, squatting, stooping, twisting, reaching, walking, standing, or working on irregular surfaces.

B Classification
Occupations that involve light physical activity. Work is fairly active and may require frequent lifting of objects of 10 - 15 lbs and/or occasional lifting of up to 25 lbs. Work may involve moderate standing, walking, bending, stooping, squatting, twisting, reaching, or working on irregular surfaces.

C Classification
Occupations that involve considerable physical activity. Work is fairly active and may require frequent lifting of objects of 10 - 25 lbs and/or occasional lifting of objects over 50 lbs. Work may involve considerable walking, bending, stooping, squatting, twisting, reaching, or working on irregular surfaces.

D Classification
Occupations involving heavy physical activity with considerable stress on the back. Work requires frequent lifting of objects over 50 lbs and extensive walking, bending, stooping, squatting, twisting, climbing, reaching, or working on irregular surfaces.

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