Physician’s Report of Disability

Category: #606 | Disability Retirement | Application Form | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 6

Document Type: Application Form

Tier Number: Tier 1, Tier 2, Tier 3, Tier 4, Tier 6

File Number: 606

Form #606
This form contains your physician’s medical report and your authorization to provide information to NYCERS’ Medical Board.