Disability Insurance often called DI or disability income insurance, or income protection is a form of insurance that insures the beneficiary’s earned income against the risk that a disability creates a barrier for a worker to complete the core functions of their work.

Filling out this disability form will get you started. If you have any questions, please give Shield Insurance Agency a call or text at 616-896-4600.

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Disability Form

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	Shield Insurance Agency Home Office 3214 Chicago Drive Hudsonville, Mi 49426 Call or Text: 616-896-4600 Fax: 616-896-4601