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Rhode Island Department of Labor and Training fax number

(401) 462-8466

Temporary Disability Insurance (TDI) / Temporary Caregiver Insurance (TCI)

Used for: Submitting TDI/TCI forms and medical certifications to the RI DLT (TDI-3 / TDI-3C); receiving claim updates and benefit notices related to TDI/TCI.

Fax destination details

Department
Temporary Disability Insurance (TDI) / Temporary Caregiver Insurance (TCI)
Purpose
Submitting TDI/TCI forms and medical certifications to the RI DLT (TDI-3 / TDI-3C); receiving claim updates and benefit notices related to TDI/TCI.
Form
TDI-3 / TDI-3C — Temporary Disability Insurance Medical Certification (TDI-3) and Temporary Caregiver Insurance medical forms (TDI-3C)
Address
1511 Pontiac Ave, Cranston, RI 02920
Voice phone
(401) 462-8420

Before you send

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Medical certification must be completed by a qualified healthcare provider and submitted to DLT; use the TDI Help Form for guidance.

Review official form instructions

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