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Application for Performance of Duty Disability RetirementReceived Dater Sheriffs, Undersheriffs, Deputy Sheriffs and County Correction Officers in Counties that Elected Sections 63B, 63C, 607C and

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How to fill out performance of duty disability

01

Obtain the necessary forms from your employer or human resources department.

02

Fill out the forms accurately and completely, providing any relevant information or documentation.

03

Submit the completed forms to the appropriate department or individual for review.

04

Follow up with any additional information or documentation requested by the reviewing party.

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Await a decision on your performance of duty disability claim.

Who needs performance of duty disability?

01

Employees who have sustained work-related injuries or illnesses that prevent them from performing their job duties.

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What is performance of duty disability?

Performance of duty disability refers to a benefit provided to individuals who become disabled while performing their official duties. It generally applies to public safety officers, including police officers and firefighters, and is meant to compensate them for any loss of income due to a work-related disability.

Who is required to file performance of duty disability?

Typically, public safety employees, such as police officers, firefighters, and other government officials who sustain a disability as a direct result of their job duties are required to file for performance of duty disability.

How to fill out performance of duty disability?

To fill out a performance of duty disability claim, individuals need to complete the appropriate forms provided by their agency or the relevant governing body. This usually includes personal information, details about the disability, medical documentation, and any supporting evidence related to the disability.

What is the purpose of performance of duty disability?

The purpose of performance of duty disability is to provide financial compensation and support to individuals who are unable to work due to a disability incurred while performing their official job duties. It aims to ensure that these individuals receive the necessary benefits during their recovery period.

What information must be reported on performance of duty disability?

The information that must be reported on a performance of duty disability claim includes personal identification details, a description of the disability, date and circumstances of the injury, medical records, and documentation from supervisors or relevant officials confirming the job-related nature of the disability.

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