Unum uses this 11-page update to re-evaluate whether a claimant still qualifies for disability benefits on an open claim. The physician or treating provider primarily responsible for care completes the Attending Physician Information on pages 8 to 10: current diagnosis with ICD and DSM codes, other treaters, functional capacity, treatment and recent or planned procedures.
The physician or treating provider completes sections A to E of the Attending Physician Information and signs section E. The employee completes the Employee Information on pages 4 to 6 and signs the authorization on the last page, giving a copy to the physician.
Download the current version from the source each time; forms change without notice.
Disability Status Update Form (Attending Physician Information)
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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Unum sends the Disability Status Update to collect current information used to evaluate the claimant's continued eligibility for disability benefits. The employee completes their section and asks the physician or treating provider primarily responsible for their care to complete the Attending Physician Information.
List physical and behavioral health restrictions (activities the patient should not do) and limitations (activities the patient cannot do) separately, each with from and to dates. Be specific and quantify terms against a standard 8-hour workday with breaks about every two hours.
Section D asks for your treatment plan including all medications, any procedures or hospitalizations since you last reported, with dates, and any procedures expected in the next three months. Section A also records height, weight, blood pressure and the next office visit date.