Disability Applications
Disability Applications
If you wish to file for Disability Retirement, locate your Tier below and download the corresponding Disability Kit. Each Kit contains detailed instructions together with all the necessary forms and documents needed to file for Disability. Individual forms can be downloaded by clicking the “Show Contents” tab.
Tier 1 Disability Retirement
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F801 - Instructions for Members Filing For Disability Retirement
F601 - Application for Disability Retirement for Tier 1 Members
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Questionnaire – Applicants for Disability Retirement
F615 - Authorization for Release of Information
Brochure 921 - Disability Retirement – Tier 1 and Tier 2
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 2 Disability Retirement
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F801 - Instructions for Members Filing For Disability Retirement
F602 - Application for Disability Retirement – Tier 2
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Instructions for Members Filing For Disability Retirement
F615 - Authorization for Release of Information
Brochure 921 - Disability Retirement – Tier 1 and Tier 2
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 3 Uniformed Correction Force Disability Retirement
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F801 - Instructions for Members Filing For Disability Retirement
F603 - Application for Disability Retirement – Tier 3 Uniformed Correction Force Only
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Questionnaire – Applicants for Disability Retirement
F615 - Authorization for Release of Information
Brochure 922 - Disability Retirement – Tier 3 and Tier 4
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 4 Disability Retirement
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F604 - Application for Disability Retirement – Tier 4
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Questionnaire – Applicants for Disability Retirement
F615 - Authorization for Release of Information
F801 - Instructions for Members Filing For Disability Retirement
Brochure 922 - Disability Retirement – Tier 3 and Tier 4
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 6 63/10 and Special Plans Disability Retirement
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F624 - Application for Disability Retirement – Tier 6 63/10 and Special Plan Members
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Questionnaire – Applicants for Disability Retirement
F615 - Authorization for Release of Information
F801 - Instructions for Members Filing For Disability Retirement
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees
22-Year Plan Disability Retirement
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F801 - Instructions for Members Filing For Disability Retirement
F626 - Application for Disability Retirement 22-Year Plan Members Enhanced Disability Benefit Participants Only
F625 - Application for Disability Retirement – 22-Year Plan Members
F605 - Applicant’s Report of Personal Disability
F606 - Physician’s Report of Disability
F608 - General Authorization for Medical Information
F609 - Questionnaire – Applicants for Disability Retirement
Fact Sheet #728 - Sanitation 22-Year Plan Enhanced Disability Benefit
Fact Sheet #731 - Correction 22-Year Plan Enhanced Disability Benefit
F615 - Authorization for Release of Information
Brochure 958 - Earnings Limitations for Service Retirees and Disability Retirees