North Carolina Disability Benefits

Employer Information

This page provides an overview of disability forms and training documents to help members and employers understand the process and what information is needed to apply for disability benefits.

Frequently Asked Questions

Disability Income Plan of North Carolina Overview for TSERS Members
Overview of short-term, extended short-term and long-term disability benefits for permanent employees who are members of the Teachers’ and State Employees’ Retirement System.

Training and Education Modules for TSERS members 

Quick Reference Charts

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Disability Process Checklist

To help guide you through the process, the following is a checklist of required forms listed in the order that they must be submitted. Click on the form number to retrieve the form. Mock-ups are available above in the "Training and Education" section to assist you with completing the form.

For members of Local Governmental Employees' Retirement System (LGERS)

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Form 7 - Requesting Disability Retirement Benefits

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Form 7A - Medical Report for Eligibility Review

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Job Description (Provided by employer)

For members of Teachers' and State Employees' Retirement System (TSERS)

vested on or before January 1, 1988

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Form 7- Requesting Disability Retirement Benefits

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Form 7A - Medical Report for Eligibility Review

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Job Description (Provided by employer)

For members of TSERS

vested after January 1, 1988

DIPNCShort-term and/or Preliminary Long-Term application includes:

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Form 701 - Requesting Short-Term Benefits Through the Disability Income Plan of North Carolina

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Form 700 - Requesting Employer Information Required for Member Disability Income Plan Benefits

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Job Description (Provided by employer)

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Form 703 - Reporting Earnings for Short-Term Disability Benefits and Medical Report for Eligibility Review

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Form 7A - Medical Report for Eligibility Review

DIPNC Extended Short-term or Long-Term application includes:

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Form 704 - Requesting Additional Benefits Through DIPNC

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Form 701 - Requesting Short-Term Benefits Through the Disability Income Plan of North Carolina

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Form 700 - Requesting Employer Information Required for Member Disability Income Plan Benefits

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Job Description (Provided by employer)

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Form 703 - Reporting Earnings for Short-Term Disability Benefits and Medical Report for Eligibility Review

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Form 7A - Medical Report for Eligibility Review

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Form 711 - Determining and Recording Short-Term Disability Benefits


 

Contact Us:  Employers with questions regarding the employer sections of the forms or the employer's role in the disability process should contact the North Carolina Retirement Systems at: Raleigh area 807-3050; Toll Free 1-877-627-3287; choose the option for "Disability Questions."