We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Form 3112c, Physician's Statement, Standard Form 3112d, Agency Certification Of Reassignment And

Get Form 3112c, Physician's Statement, Standard Form 3112d, Agency Certification Of Reassignment And

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.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to use or fill out the Form 3112C, Physician's Statement, Standard Form 3112D, Agency Certification Of Reassignment And online

This guide aims to assist users in accurately completing the Form 3112C, Physician's Statement, and Form 3112D, Agency Certification of Reassignment and Accommodation Efforts. Each step is designed to clarify the requirements and help facilitate a smooth application process.

Follow the steps to complete the forms effectively.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin with Form 3112C, Physician's Statement. Provide the applicant's name, date of birth, and social security number. Ensure accuracy in all identifying information as this will be critical for the application process.
  3. The physician must provide a comprehensive medical history, detailing past and current conditions and how they affect the applicant's ability to perform their job duties. Use clear and specific language to describe the medical aspects.
  4. Next, complete the medical documentation requirements by supplying objective findings and reports concerning the individual's condition. Include details of symptoms, diagnoses, and treatment plans. Be thorough as incomplete information may delay processing.
  5. For Form 3112D, Agency Certification of Reassignment and Accommodation Efforts, the agency official must outline their assessment of whether reasonable accommodations have been made for the applicant. This includes specifying any unsuccessful accommodation efforts and relevant documentation that supports the agency's decision.
  6. Follow up with the applicant to ensure they attach a copy of their position description with the forms. This documentation is necessary for both medical and agency assessments.
  7. Once all fields are completed, save your changes and review the forms for accuracy. You may then download, print, or share the forms as necessary.

Take the next step by completing your forms online and ensure you have all required documentation ready for submission.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Printing H:\FORMFLOW\FORMS\SF\SF3112.FRP - OPM
Form 3112C, Physician's Statement, Standard Form 3112D, Agency Certification of...
Learn more
SF 3112 - Branch 38
Standard Form 3112C, "Physician's Statement," Standard Form 3112D, "Agency Certification...
Learn more

Related links form

Bls Dor Wa Gov Form DMS-024 Medicare Plan Enrollment Options CIT Aviator Sports Summer Camp Questionnaire 2017 .docx Demographic Information Update Form. Form For Updating Your Basic Demographic Information With The

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

To apply for benefits from the Federal Employees Retirement System (FERS) you must submit a retirement application, Standard Form 3107. For more information about the application process, please visit the CSRS & FERS Information page.

Which is stronger financially? A. FERS disability retirement provides the greater benefit, even for employees with as many years as you have. Note: If you file for FERS disability retirement, you must also file for Social Security disability benefits.

How much will you receive on FERS Disability Retirement? The first year you are on FERS Disability Retirement you will receive 60% of your high 3 average, every year after that you will receive 40% of your high 3 average. You will continue receiving 40% of your high 3 average until you turn age 62.

Your retirement benefit is calculated using a formula with three factors: Service credit (Years) multiplied by your benefit factor (percentage per year) multiplied by your final monthly compensation equals your unmodified allowance.

Disability retirement is an employee benefit intended for employees who are unable to complete a normal career due to disease or injury. To be eligible for retirement disability, employees must meet prescribed statutory, regulatory, and administrative criteria.

DD Form 3112, "PERSONNEL ACCOUNTABILITY AND ASSESSMENT NOTIFICATION FOR A PUBLIC HEALTH EMERGENCY"

Disability retirement is a benefit that protects disabled employees who are not eligible for regular retirement against the loss of income. Disability retirement is not a permanent benefit for individuals under age 60.

If you are applying for disability retirement, you must complete SF 3107, Appli cation for Immediate Retirement, and SF 3112, Documentation In Support of Disability Retirement. Your employing agency will help you complete these forms and will forward the completed forms to the Office of Personnel Manage ment (OPM).

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Form 3112C, Physician's Statement, Standard Form 3112D, Agency Certification Of Reassignment And
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232