Disability Application Forms
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To apply for disability retirement benefits, you may need a form for…
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Requesting Disability Retirement Benefits |
Form 7 |
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Medical Report for Disability Eligibility Review |
Form 7A |
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Requesting Disability Status from the Firemen's and Rescue Squad Workers' Pension Fund |
Form 7FR |
Depending on your situation, RSD will send you the following form, if applicable.
To apply for disability benefits from the Disability Income Plan of North Carolina, you (TSERS only) may need a form for…
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Requesting Short-Term Benefits Through the Disability Income Plan of North Carolina |
Form 701 |
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Requesting Employer Information Required for Member Disability Income Plan Benefits |
Sample Form 700 |
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Medical Report for Eligibility Review of Short-Term Disability Benefits |
Form 703 |
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Medical Report for Disability Eligibility Review |
Form 7A |
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Requesting Additional Benefits Through the Disability Income Plan of North Carolina |
Form 704 |
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Determining and Recording Short-Term Disability Benefits |
Sample Form 711 |
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Requesting Reimbursement and Service Credit for the Short-Term Period |
Sample Form 714 |