Transcription of Documentation in Support of Disability …
{{id}} {{{paragraph}}}
Example: dental hygienist
Documentation in Support of Disability …
Form Approved: OMB No. 3206-0228 Documentation in Support of Disability retirement Application This package contains the forms applicants for Disability retirement from civilian Federal service need to complete. You should have received with this package a pamphlet entitled: Information About Disability retirement . If you did not receive the information pamphlet, ask your agency to give you one. This package contains the following forms: Standard Form 3112A, Applicant's Statement of Disability , Standard Form 3112B, Supervisor's Statement, Standard Form 3112C, Physician's Statement, Standard Form 3112D, Agency Certification of Reassignment and Accommodation Efforts, and Standard Form 3112E, Disability retirement Application Checklist. You should keep one copy each of the completed forms for your own records.
Form Approved: OMB No. 3206-0228 Documentation in Support of Disability Retirement Application This package contains the forms applicants for disability retirement from civilian Federal service need to complete.
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
Related search queries
Information About Disability Retirement FERS, Disability retirement, Retirement, Eligibility Factors and Suggested Documentation, Documentation, CHILD CARE SUBSIDY DOCUMENTATION, UNCLASSIFIED NAVY RECRUITING MANUAL, Unclassified navy recruiting manual-enlisted, APPLICATION FOR COMBAT-RELATED SPECIAL, APPLICATION FOR COMBAT-RELATED SPECIAL COMPENSATION CRSC