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Disability

Forms

 

General Employees Retirement Plan

  Application for Disability (pdf)

  Physician's Statement (pdf)

  Employer Certification Form (pdf)

 

Correctional Retirement Plan

  Application for Disability (pdf)

  Physician's Statement (pdf)

  Employer Certification Form (pdf)

 

State Patrol Retirement Plan

  Application for Disability (pdf)

  Physician's Statement (pdf)

  Employer Certification Form (pdf)

 

Misc Forms

  Direct Deposit Agreement (pdf)

  Tax Withholding Election (pdf)

Documents

 

Misc Documents

  HIPAA Disclosure (pdf)

 

Brochures

  Understanding Disability Benefits (pdf)