The Application for Benefits form may be obtained from your Local ABA representative of from the ABA home office. You can also download a PDF file of this form as well as others from the forms [0] page. This form must be completed within 90 days after you return to work (any type of duty) or the date the doctor releases you to return to work, whichever date occurs first. Loss of time must begin within 60 days after the date of the accident that caused the disability. 
WHAT ADDITIONAL INFORMATION IS REQUIRED TO PROCESS A CLAIM? •Verification of time lost from work (for postal employees)
•3971's, 3972's, or TAC Rings.
•Copy of CA-1, if job related.
•Copy of police/accident report, if motor vehicle accident.
•If hernia repair, operative report (see General Information)
WHAT SIGNATURES ARE REQUIRED? 
•Claimants signature•Certification from Local APWU President or Designated Officer. (unless you are retired)
•Doctor's signature and date along with medical verification.
IN THE EVENT OF DEATH FROM A COVERED ACCIDENT, HOW DOES MY BENEFICIARY FILE A CLAIM?Beneficiary shall, as soon as possible, give written notice of the death to either the Local ABA Representative or directly to the Accident Benefit Association, P.O. Box 120, Rochester, NH 03866. Such proof of claim must be filed on the official Application for Death Benefits form within one year from date of death. Upon receipt of Notification of death, the official application will be mailed to beneficiary.
WHO DETERMINES IF BENEFITS ARE PAYABLE?
The ABA National Director is authorized to pay claims that are not deemed questionable. If the claim is questionable, it is submitted to a Committee on Claims for their review and decision. Death benefit claims must be approved by the Committee on Claims. IF THE COMMITTEE ON CLAIMS DENIES BENEFITS, IS THERE FURTHER APPEAL?
Yes. The claimant may submit a written appeal, including additional medical evidence to substantiate their claim. The appeal should be sent to the Area Director designated in the denial letter. A copy of the appeal and new medical documentation are sent to each member of the Board of Directors by the ABA office. The Board of Directors review the claim and casts a ballot to either uphold the decision of the Committee on Claims, or to reverse the decision and pay the claim, or make other disposition of the claim as deemed proper.
APW-ABA, PO Box 120, Rochester, NH 03866 - 1 603 330 0282