Disability Forms

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Disability Application Forms
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Form 8001 - Certification of Application for Disability Retirement and Supporting Medical Information
Form 8030 - Employer Job Certification
Form 8035 - Employee Job Description
Form 8040 - Prescription and Non-Prescription Medications
Form 8846 - Travel Voucher for Independent Examination

Disability Consent and Authorization Form
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Form 8525 - Informed Consent and Authorization: Disability Retirement Applications and Reviews, All Plans

Disability Review Forms
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Form 8101 - Employment and Medical Staff Review Certification
Form 8102 - Employment and Medical Staff Review Certification Reinstatement
Form 8130 - Disability Retiree Employment Reporting
Form 8202 - Workers' Compensation Certification
Form 8203 - Social Security Certification
Form 8205 - Certification of Social Security Disability and Workers' Compensation Benefits for Qualifying Total & Permanent Disability Recipients

Disability Beneficiary Forms
Download
Form 6008 - Beneficiary Election to Continue Disability Application Process on Behalf of Deceased Member
Form 8002 - Certification of Application for Disability Retirement and Supporting Medical Information

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