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)