Please complete every question so that you will not experience delays in filing for benefits. Please do not file multiple applications for the same illness/injury as this will also delay processing your claim.
Print and complete the application form. Attach the direct deposit form (if you choose that option) and mail to:
Temporary Disability Insurance
P.O. Box 20100, Cranston, RI 02920-0941
- If you select the Direct Deposit method, please complete the direct deposit form and mail it with your TDI application to the address above.
- If you select the Electronic Payment Card (EPC), do not send in a direct deposit form. The EPC card will arrive in the mail in a plain white envelope. Please be sure to read the instructions to avoid any ATM or bank charges. Visit the TDI EPC website for more information.
- File a TDI/TCI Claim
- Be responsible for your Medical Form
- Check Status of Claim
- Direct Deposit
- Electronic Payment Card
- Partial Return to Work
- TDI Refund Form
- Frequent Questions
- Board of Review