Get Disability Retirement Initial Information Certification - Persi - Idaho ... - Persi Idaho

Completing the Disability Retirement Initial Information Certification form is an essential step in applying for disability retirement benefits through PERSI in Idaho. This guide will provide you with clear, step-by-step instructions to ensure you accurately fill out the form online.

Follow the steps to complete your disability retirement certification form

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Fill out the member information section. Provide your name (first, middle, last), social security number, street or P.O. Box, mailing address, city, state, zip code, daytime phone number (including area code), and email address.
3. Indicate your current or most recent PERSI employer, along with the name of your immediate supervisor.
4. Review the disability retirement information carefully. Understand PERSI’s eligibility criteria and ensure you meet the definitions provided, such as being unable to engage in any occupation as a result of your condition.
5. Certify your understanding and agreement with the statements listed in the disability retirement certification section. This includes acknowledging your responsibility for gathering necessary medical records and understanding the consequences of not returning the form within thirty days.
6. Sign and date the form. It’s important to ensure everything is filled out correctly before submitting.
7. Return the completed form to PERSI either by mail or through the designated submission method provided in the instructions. Ensure you keep a copy for your records.

Complete your Disability Retirement Initial Information Certification form online today to move forward with your application.