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TDI Online Application
Printable Application
Check Status of TDI Claim

Direct Deposit
Avoiding EPC Fees

Partial Return-to-Work
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Frequent Questions



Medical Release Form

If your healthcare provider (physician, hospital or medical facility) requires your authorization before providing TDI with any information regarding the illness or injury you are claiming benefits for, an Authorization for Release of Medical Information will be mailed to you when your claim is received in TDI. You must sign the Authorization and deliver (mail, fax or bring) it to your healthcare provider as quickly as possible so that your claim can be processed. If you do not receive the Authorization or if you need additional copies, you may download one here:

Medical Release Form (in pdf)



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RI Department of Labor and Training
Temporary Disability Insurance
P.O. Box 20100,
Cranston, RI 02920
-0941

Phone: (401) 462-8420
Fax (401) 462-8466
TTY via RI Relay: 711
1/15/14 MDF
State Seal
  DLT is an equal opportunity employer/program. Auxiliary aids and services available upon request