If you are unable to perform the duties of your job due to an illness or injury and require time off, notify your supervisor immediately and follow Department policies and procedures. If your absence extends beyond 2 weeks, your timekeeper will notify the Retirement Plan Office of your continued absence. To qualify for Disability Benefits, you must provide the Disability Section with a completed Disability Claim Form and Doctor’s Certificate. Disability payments cannot be made until the Retirement Plan Office has received all of your forms. To ensure that you receive your Disability Benefits without delay, you may want to contact the Retirement Plan Office and request the necessary forms as soon as you become aware that you may be off work for more than 2 weeks due to your illness or injury.
Disability Claim Form
Contingent Disability Benefits Agreement Form
E-mail: [email protected]
Employees Retirement Plan Room 357 Department of Water & Power PO Box 51111 Los Angeles, CA 90099-5520
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