Order these forms from your employer or contact PMRS.
(PMRB-9) Employer’s Statement Concerning Disability
(PMRB-9) Employer’s Statement Concerning Disability Description
Disability Retirement Application:
Allows member to apply for disability benefit.
(PMRB-10) Applicant’s Statement Concerning Disability
(PMRB-10) Applicant’s Statement Concerning Disability Description
Employer’s Statement Concerning Disability:
Seeks employer information and comments on the member’s disability application.
(PMRB-11) Disability Retirement Application
(PMRB-11) Disability Retirement Application Description
Disability Retirement Application:
Member application for retirement disability.
(PMRB-17) Medical Report and Review
(PMRB-17) Medical Report and Review Description
Medical Report and Review:
Seeks doctor’s information and comments on the member’s application for disability.
