Get Disability Retirement Application Part I - Ers.ga.gov - Ers Ga

Navigating the Disability Retirement Application can be a complex task, but this guide aims to simplify the process. By following these detailed instructions, you can confidently complete Part I of the application and move forward in securing your benefits.

Follow the steps to successfully complete your application.

1. Press the 'Get Form' button to access the Disability Retirement Application Part I form and open it in your document viewer.
2. Begin by filling out your personal information. This includes your full name, date of birth, and Social Security number. Ensure that all details are accurate and clearly printed.
3. Provide your mailing address and contact information. Include your home phone number, work phone number, and email address to ensure easy communication.
4. Indicate your current marital status by checking the appropriate box for 'Single,' 'Married,' 'Divorced,' or 'Widowed.'
5. Fill in the name of your current employer, your position title, and select your effective date for retirement. Remember that the effective date must be on the first day of the month following the submission of your application.
6. Choose the type of retirement for which you are applying. Options include 'Disability' or 'Injury in Line of Duty.'
7. Select one monthly retirement allowance option that best suits your needs. Review the descriptions carefully and initial next to your choice.
8. Designate your primary and secondary beneficiaries for retirement benefits. Ensure that all information, including full names and relationships, is accurate.
9. Complete your election of federal and Georgia state income tax withholdings. Include relevant details regarding your filing status and exemptions.
10. Fill in your direct deposit information. Indicate whether your account is a checking or savings account and provide the necessary bank details.
11. Initial and date several designated pages (7, 9, 11, 13, and 15). Ensure any additional required signatures are obtained and that all necessary documentation is attached.
12. Save your changes, download or print the completed application for your records, and securely return the application to the Employees' Retirement System of Georgia.

Take the first step in securing your disability benefits by filling out your application online today.