Disability Retirement Benefits - PSERs

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How do I apply for a disability retirement benefit? PSERS strongly suggests that you attend a disability retirement counseling session conducted by a PSERS Regional Representative before applying for a disability retirement benefi t. By attending a PSERS counseling session, you avoid some of the common mistakes which may lead to a delay in processing. At the counseling session, the Representative will review your retirement estimates, explain the application process, and assist you in completing the PSERS Application for Disability Retirement Packet which will be provided at that session. Attendance at a counseling session will ensure that you are provided with the information you need to have your benefi t processed timely. The contact information to schedule an appointment with a PSERS regional offi ce is found on page 18. To apply for a disability retirement benefi t, you must complete and submit the following forms to PSERS no earlier than 30 days before you begin an unpaid leave or your date of termination: Application for Disability Retirement (PSRS-49). You will complete this application during or after your PSERS counseling session. Job Description (PSRS-1236). Your employer completes this form. 5
Physician’s Medical Report(s) (PSRS-1237). Your physician(s) complete this form. Your physician should provide an evaluation of your medical history as it affects your ability to perform assigned duties. This information should refl ect your physical and/or mental condition as of your last day of paid service as well as your current condition. If the medical information submitted is insuffi cient to make a determination, the PSERS medical examiners will request that you provide additional information from your physician(s). If you are applying prior to your termination or unpaid leave start date, your employer must electronically submit to PSERS an unpaid leave status or a termination date within 30 days of the date your application is received by PSERS. The effective date of your unpaid leave status or termination must be within 30 days of your application. Any missing and/or insufficient required medical information will delay the processing of your application. Who is responsible for charges incurred to provide the medical information? You are responsible for any cost to obtain the medical information needed to determine your disability status. 6
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Disability Retirement Benefits - PSERs

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