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RSA EFFENDIS 07/16QUESTIONNAIRE ON DISABILITY RETIREMENTCheck One: ERS Retirement Systems of Alabama P. O. Box 302150 Montgomery, AL 361302150 3345177000 or 8775170020 www.rsaal.govName FirstMiddleLastSocial
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How to fill out questionnaire on disability retirement

01
Start by reading the instructions provided with the questionnaire to understand the requirements and the information needed.
02
Gather all the necessary documents and information related to your disability retirement, such as medical records, employment history, and financial information.
03
Begin filling out the questionnaire by providing your personal details, such as your full name, contact information, and social security number.
04
Answer all the questions in the questionnaire truthfully and accurately. Provide detailed information about your medical condition, including the date of diagnosis, symptoms, and treatments received.
05
If required, attach any supporting documents such as medical reports, doctor's certificates, or any other evidence that can validate your disability claim.
06
Review your completed questionnaire to ensure all the fields are filled out correctly and completely.
07
Sign and date the questionnaire as required, accepting the accuracy of the provided information.
08
Make copies of the completed questionnaire and all the supporting documents for your records.
09
Submit the filled-out questionnaire and all the required documents to the designated authority or institution responsible for processing disability retirement claims.
10
Follow up with the authority or institution to ensure the progress of your application and provide any additional information or clarification if requested.

Who needs questionnaire on disability retirement?

01
Individuals who are seeking retirement benefits due to a disability would need to fill out a questionnaire on disability retirement.
02
This can include individuals who have developed a long-term medical condition that prevents them from working and earning a living.
03
People who have become permanently disabled and can no longer continue their regular employment may be eligible for disability retirement benefits.
04
It is important to consult with the relevant authority or institution to determine if you meet the eligibility criteria and to obtain the necessary questionnaire for disability retirement.
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