FAQ: Retirement > SERS

Retirement > SERS > Disability Retirement

6. What forms and records will I need to apply?

There is no hard and fast rule about what records you should provide to the Medical Examining Board. We recommend you submit the following:

  • A CO-649 Disability Retirement Application Medical Report form, completed by the physician who treated you.
  • If you are applying for a service-connected disability retirement, copies of all relevant accident reports (WC 207).
  • Your signed and completed Initial Questionnaire and Statement of Applicant for Disability Retirement form (CO-1050).
  • Narrative reports, explaining your treatment, from every physician who has treated you for the diagnosis for which you are seeking a disability retirement.
  • Written reports of any relevant diagnostic test. (Films are not accepted.)
  • Hospital or other reports of any surgical procedure connected with your disability.
  • Initial evaluations and/or discharge summaries in connection with any physical therapy you have received. (Please do not include daily Notes.)
  • Any other substantive reports that are relevant to your condition.
  • Any statement you wish to make that either describes your condition or identifies the facts and records you consider to be most important.