La. Admin. Code tit. 58 § XXV-801

Current through Register Vol. 50, No. 9, September 20, 2024
Section 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.

La. Admin. Code tit. 58, § XXV-801

Promulgated by the Department of Treasury, Municipal Employees' Retirement System, LR 482370 (9/1/2022).
AUTHORITY NOTE: Promulgated in accordance with R.S. 11:1823.