Request For Benefits Form

Try our legal and request for benefits form template for free to help clients claim benefits.

Assist your clients who want to claim benefits for themselves or their dependents. List your representation expenses for your legal work so clients understand the types of services you have already rendered to them for their claim filing.

Try our request for benefits form for free on any mobile device with a free trial of IntouchCheck mobile form software. Sign up for a free trial today and ask your Intouch specialist to load this pre-built form into your account.

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Legal clients want more transparency involving the types of legal services that attorneys and lawyers provide when they are requesting benefits through their employers' group plans. They want to understand what services you provided toward their claim so there is no confusion over your client billing practices. Our request for benefits form can be used by lawyers and attorneys when they are working with benefit request claims for clients.

Form Details

Try out our request for benefits form to streamline the benefit claim process. You can gather all the needed information by tapping the client's answers right into the mobile device screen as our form works on smartphones, tablets, iPhones and iPads. You can also use our form template to further explain the services that will be rendered to the client during the claim process so there is more cost transparency in your legal work.

This request for benefits form can help your legal practice provide superior services to your client. It also lets grateful clients know that they will only be billed for services that are related to their benefit claims. Minimize legal service errors with this convenient request for benefits form designed for legal and paralegal professionals. Available categories in our form template:

  • Employee's statement details
  • Employee's statement signature
  • Attorney's statement details
  • Billing information
  • Case start date and end date
  • Services rendered descriptions
  • Total fee details
  • Attorney's signature

Customize Your Digital Request For Benefits Form

We know that every business is unique, and your forms should reflect that. Our ready-to-use template is a comprehensive list of industry standard fields, but it is most useful when customized to reflect your own needs. The IntouchCheck platform makes it simple to quickly customize the mobile form template to meet the individual needs of your company and goals; questions, fields, or sections can be quickly removed, and new queries or fields can be added in the appropriate places to fit your project.

Create Your Own Request For Benefits FormTemplate

Already have processes and procedures in place? IntouchCheck’s straightforward interface makes it fast and easy to create your own forms, where you can customize the sections, categories, questions, and types of data/image capture fields. We’re here to help you get started! Try IntouchCheck for free, and see how easy it is to streamline your business processes.