For your convenience, we have placed all applicable Wright USA Disability Income Insurance Plan forms you might need right here in one place.

Disability Income Applications

• Downloadable Disability Income Application



• Downloadable California Resident Disability Income Application
  


• Downloadable New York Resident Disability Income Application



• Downloadable Guaranteed Acceptance Disability Income Application
  (NOTE:  You may only use this application if you are a new Federal Employee with 45 days of you hire date (benefits are subject to the policy's pre-existing condition limitation). Otherwise, please apply online or use the downloadable application above.)
  
  
• Electronic Funds Transfer (EFT) Form

My Wright Account

Contact Wright USA- Your Plan Administrator