Get Application For Article 14b Disability Retirement Rs 6408 - Osc State Ny

Filling out the Application For Article 14B Disability Retirement RS 6408 can be a significant step towards securing your benefits. This guide provides a clear and supportive approach to completing the form online, ensuring that users with varying levels of experience can easily understand the process.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the application and open it in your preferred editor.
2. Begin by checking off the benefit(s) you are applying for, selecting all that apply from Sections 555, 556, 557, or 558.
3. Provide your name in the designated field, ensuring to print plainly or type your details for clarity.
4. Indicate your sex by selecting either 'Male' or 'Female'.
5. Fill in your address to ensure proper correspondence.
6. Enter your Social Security number carefully, using the format provided.
7. Input your registration number, date of birth, and telephone numbers for contact purposes.
8. List your employer and payroll title accurately, and indicate your length of service in years and months.
9. State your payroll status, confirming whether you are on payroll and receiving salary.
10. Select your status regarding United States tax withholding and reporting by checking the appropriate option.
11. Describe your medical condition(s) that have led to your application for disability retirement, using additional sheets if necessary.
12. List the doctors who have treated you, including their specialties and contact details.
13. Document any hospitalizations, providing the dates and locations.
14. Provide details of accidents or occurrences related to your claimed disability.
15. List the names and addresses of witnesses to any accidents or occurrences that support your claim.
16. Describe any other occurrences that may relate to your disability in detail.
17. Provide information about your intended beneficiary, including their relationship to you and contact details.
18. Sign the application on the reverse side, certifying that the information is true.
19. Once completed, review your application for accuracy before saving changes, downloading, printing, or sharing the form as needed.

Take action today – complete your Application For Article 14B Disability Retirement online to ensure you receive the benefits you deserve.