La. Admin. Code tit. 58, § XXV-801 - Application Process
A. Disability
applications should be submitted before the member exhausts all leave or
terminates employment.
B.
Disability applications will be processed upon receipt of the following:
1. disability application by the
member;
2. disability report by
supervisor;
3. notification of
income from other sources from the member;
4. member statement of disabling
condition;
5. copies of all medical
records pertaining to the disability;
6. authorization to request income
information from the member;
7.
salary evaluation form;
8.
authorization for direct deposit;
9. copy of member's birth certificate and
Social Security card;
10. copy of
beneficiary's birth certificate and Social Security card, if
applicable;
11. spousal consent
form if legally married and maximum option is chosen;
12. copy of certificate of elected service if
the member is an elected official in Tier 1;
13. copy of death certificate of spouse if
member's spouse is deceased; and
14. certified copy of divorce decree if
member is divorced.
Notes
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