[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-287512-105":53,"doc-detail-287512-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","disability-and-fmla-list-of-forms-2017","Disability and FMLA List of Forms - 2017","","This document provides a clear, categorized schedule of fees associated with processing disability and Family and Medical Leave Act (FMLA) related forms at ORA Orthopedics. It explicitly distinguishes between forms that require a $20 pre-payment and those that are processed free of charge. The list includes major insurance providers such as Aetna, Cigna, AFLAC, and Prudential, as well as specific claim types like accident, trip cancellation, and financial institution forms. Additionally, it highlights services exempt from fees, such as handicap stickers and work release documentation, ensuring patients and administrative staff are informed about the financial requirements for handling sensitive medical and employment-related paperwork. The document serves as a standard reference guide to streamline administrative workflows and ensure transparent billing practices for patients seeking medical documentation for various external agencies and life situations.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/disability-and-fmla-list-of-forms-2017/287512/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/disability-and-fmla-list-of-forms-2017/287512.png","ImageObject",442,249,{"name":88,"@type":89},"Marry","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-24","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How much is the pre-payment fee for disability forms?","Question",{"text":108,"@type":109},"A $20 pre-payment is required for processing forms categorized as requiring a fee.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Are FMLA forms subject to the $20 pre-payment fee?",{"text":113,"@type":109},"Yes, Family Medical Leave Act (FMLA) forms are listed among those that require a $20 pre-payment.",{"name":115,"@type":106,"acceptedAnswer":116},"Do handicap sticker or plate forms require a payment?",{"text":117,"@type":109},"No, handicap sticker and plate forms are specifically listed under the category of forms that do not require a payment.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},287512,1790162633,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},5909892079670,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Disability & FMLA List of Forms  \nForms that require a $20 pre-payment:  \n􀁸 3M Disability Forms  \n􀁸 Aetna  \n􀁸 AFLAC  \n􀁸 Central States Health & Life Co. of Omaha (CSO)  \n􀁸 Cigna  \n􀁸 CUNA Mutual  \n􀁸 Combined Insurance  \n􀁸 Family Medical Leave Act (FMLA) Forms  \n􀁸 Hartford  \n􀁸 John Deere Weekly Indemnity Forms  \n􀁸 Madison National Life  \n􀁸 Minnesota Life  \n􀁸 Mutual of Omaha  \n􀁸 Prudential  \n􀁸 Reliance Standard  \n􀁸 SunLife  \n􀁸 The Standard  \n􀁸 Any form that states “Disability” or “Attending Physician Form”  \n􀁸 Accident Claim Forms  \n􀁸 Trip Cancellation Forms  \n􀁸 Forms for loans, credit cards, and/or bank accounts  \nForms that DO NOT require a payment:  \n􀁸 Child Support Recovery Forms  \n􀁸 Citibus / Metro bus Forms  \n􀁸 Handicap Sticker / Plate Forms  \n􀁸 Hoover Round / Scooter Forms  \n􀁸 Promise Job Forms  \n􀁸 Work Release Forms  \nSports Medicine | Hip & Knee | Spine | Hand | Pediatrics Foot & Ankle | Shoulder & Elbow | Pain Management","cbCaibXVUMiAhXOX","https://ap.wps.com/l/cbCaibXVUMiAhXOX","pdf",339871,"English","# Forms Requiring Pre-payment\n## Insurance and Disability Forms\n## Financial and Claim-Specific Forms\n# Forms Not Requiring Payment\n## Government and Transportation Assistance","[{\"question\":\"How much is the pre-payment fee for disability forms?\",\"answer\":\"A $20 pre-payment is required for processing forms categorized as requiring a fee.\"},{\"question\":\"Are FMLA forms subject to the $20 pre-payment fee?\",\"answer\":\"Yes, Family Medical Leave Act (FMLA) forms are listed among those that require a $20 pre-payment.\"},{\"question\":\"Do handicap sticker or plate forms require a payment?\",\"answer\":\"No, handicap sticker and plate forms are specifically listed under the category of forms that do not require a payment.\"}]","Disability and FMLA List of Forms - 2017 | PDF",1789632415]