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.
Terminal or Grave Illness Notification
Complete this form only if you are terminally or gravely ill and need to apply for a Disability benefit, or if you have already applied and need to notify NYCERS of the gravity of your illness.
Tier 1 Disability Retirement
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Form #801 - Instructions for Members Filing For Disability Retirement
Form #601 - Application for Disability Retirement for Tier 1 Members
Form #606 - Physician’s Report of Disability
Form #608 - General Authorization for Medical Information
Form #609 - Questionnaire – Applicants for Disability Retirement
Form #615 - Authorization for Release of Information
Brochure #921 - Disability Retirement – Tier 1 and Tier 2
Fact Sheet #756 - Simultaneous Filing of Retirement Applications
Brochure #958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 2 Disability Retirement
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Form #801 - Instructions for Members Filing For Disability Retirement
Form #602 - Application for Disability Retirement – Tier 2
Form #606 - Physician’s Report of Disability
Form #608 - General Authorization for Medical Information
Form #609 - Instructions for Members Filing For Disability Retirement
Form #615 - Authorization for Release of Information
Brochure #921 - Disability Retirement – Tier 1 and Tier 2
Fact Sheet #756 - Simultaneous Filing of Retirement Applications
Brochure #958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 3 Uniformed Correction Force Disability Retirement
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Form #801 - Instructions for Members Filing For Disability Retirement
Form #603 - Application for Disability Retirement – Tier 3 Uniformed Correction Force Only
Form #606 - Physician’s Report of Disability
Form #608 - General Authorization for Medical Information
Form #609 - Questionnaire – Applicants for Disability Retirement
Form #615 - Authorization for Release of Information
Fact Sheet #756 - Simultaneous Filing of Retirement Applications
Brochure #958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 4 Disability Retirement
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Form #801 - Instructions for Members Filing For Disability Retirement
Form #604 - Application for Disability Retirement – Tier 4
Form #606 - Physician’s Report of Disability
Form #608 - General Authorization for Medical Information
Form #609 - Questionnaire – Applicants for Disability Retirement
Form #615 - Authorization for Release of Information
Brochure #922 - Disability Retirement – Tier 3 and Tier 4
Fact Sheet #756 - Simultaneous Filing of Retirement Applications
Brochure #958 - Earnings Limitations for Service Retirees and Disability Retirees
Tier 6 63/5 and Special Plans Disability Retirement
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Form #801 - Instructions for Members Filing For Disability Retirement
Form #624 - Application for Disability Retirement – Tier 6 63/5 and Special Plan Members
Form #606 - Physician’s Report of Disability
Form #608 - General Authorization for Medical Information
Form #609 - Questionnaire – Applicants for Disability Retirement
Form #615 - Authorization for Release of Information
Fact Sheet #756 - Simultaneous Filing of Retirement Applications
Brochure #958 - Earnings Limitations for Service Retirees and Disability Retirees
22-Year Plan Disability Retirement
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Form #801 - Instructions for Members Filing For Disability Retirement
Form #626 - Application for Disability Retirement 22-Year Plan Members Enhanced Disability Benefit Participants Only
Form #625 - Application for Disability Retirement – 22-Year Plan Members
Form #606 - Physician’s Report of Disability
Form #608 - General Authorization for Medical Information
Form #609 - Questionnaire – Applicants for Disability Retirement
Form #615 - Authorization for Release of Information
Fact Sheet #728 - Sanitation 22-Year Plan Enhanced Disability Benefit
Fact Sheet #731 - Correction 22-Year Plan Enhanced Disability Benefit
Fact Sheet #756 - Simultaneous Filing of Retirement Applications
Brochure #958 - Earnings Limitations for Service Retirees and Disability Retirees