Personal Financial Security Plan Worksheet For Disability Insurance

You might also like

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Cedar Financial Planning

1056 Haliburton Ave., Oswego, NY


Looking after your Financial Health is our promise.

Personal Financial Security Plan

Name _______________________________ Date______________________

Monthly
Amount ($)
Income While Disabled
Spouse’s Monthly Income
Employer Sick Pay
Disability Insurance Payments
Income from Regular Savings/Investments
Other Sources of Income
Estimated Total Monthly Income:

Expenses While Disabled


Income Taxes
Mortgage & Taxes or Rent Payments
Utilities (Heat, Phone, Electricity, Water)
Food
Transportation Expenses (Car Payments, Gas, Repairs)
Medical/Dental Care Expenses
Retirement Plan Contributions
Other (Childcare, Entertainment, Tuition, Savings)
Estimated Total Monthly Expenses:

Based on your estimates, if you became disabled and lost your income, you would have
$_____________ (more/less) income than expenses during the first six months of disability.

You might also like