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Disability Form Requirements

Disability Packet Checklist


1.) Application for Disability Retirement Annuity (SF-3A)

2.) Disability Report Form (SF-3D)

3.) Attending Physician’s Report (SF-3B)

4.) Application for Identification Card (SF-1G)

5.) Application & Authorization to Commence or Cease Allotment (SF-1F)

6.) W-4P Tax Withholding Certification

7.) Health Insurance Enrollment Form

8.) Life Insurance Enrollment Form

9.) Election to Continue or Reject Life Insurance (SF-2F)

10.) Authorization to Release Information (SF-2B)

NMI Settlement Fund 2020

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