Get Oh Opers Dr-4 2018-2026

Filling out the OH OPERS DR-4 form for disability benefits is an important step for individuals seeking assistance. This guide provides detailed instructions to help you navigate the online process smoothly.

Follow the steps to complete the OH OPERS DR-4 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide the employee's personal information. Fill in the fields for Social Security Number, OPERS ID (or first name, middle initial, and last name), date of birth, gender, address, city, state, and ZIP code.
3. In the certification by department head section, input the employee's job title as it appears on their job description. Indicate who initiated the application for disability — either employee or employer.
4. For law enforcement officers, answer whether the disabling condition resulted from an on-duty illness or injury. Explain this in detail if applicable, including the date of the incident.
5. Complete the employer-reported physical job demands section. Specify maximum lifting capacities and durations for tasks such as carrying, pushing, walking, climbing, and more. If not applicable, select the appropriate options.
6. Answer if the employee required any additional education, skills, or certification since being hired. If yes, provide details.
7. Fill in details for the department head's contact information, including their first and last name, title, email address, primary office contact details, and preferred call times and methods.
8. In the certification by fiscal officer section, state the employer's name and department/division. Indicate the final date of compensation for the employee or if it is unknown and requires approval.
9. Provide the fiscal officer's contact information, including their first and last name, title, department, and work phone number. Ensure to include their signature and today's date.
10. Once all fields are completed and checked for accuracy, users can save changes, download, print, or share the final form as needed.

Complete your OH OPERS DR-4 form online now for timely processing of your application.