To apply for disability retirement benefits, you may need a form for…

DISABILITY RETIREMENT BENEFIT FORMS

Form no.	Form Description
7 7-Requesting Disabil...	7-Requesting Disability Retirement Benefits
709 709-Estimating Your ...	709-Estimating Your Disability Retirement Benefits
7A 7A-Medical Report fo...	7A-Medical Report for Disability Eligibility Review
7FR 7FR-Requesting Disab...	7FR-Requesting Disability Status from the Firefighters' and Rescue Squad Workers' Pension Fund

Depending on your situation, RSD will send you the following form, if applicable.

DISABILITY RETIREMENT PAYMENT OPTIONS

Form no.	Form Description
7ESAMPLE 7ESAMPLE-Choosing Yo...	7ESAMPLE-Choosing Your Disability Retirement Payment Option

To apply for disability benefits from the Disability Income Plan of North Carolina, you (TSERS only) may need a form for…

DISABILITY INCOME PLAN OF NORTH CAROLINA

Form no.	Form Description
700 700-Required Employe...	700-Required Employer Information
701 701-Requesting the S...	701-Requesting the Short-Term of Benefits through the Disability Income Plan of North Carolina
703 703-Medical Report f...	703-Medical Report for Eligibility Review of Short-Term Disability Benefits
704 704-Requesting Addit...	704-Requesting Additional Benefits through the Disability Income Plan of North Carolina
711 711-Determining the ...	711-Determining the Maximum Monthly Benefit During the Short Term
714 714-Employer's P...	714-Employer's Payment Record, Reimbursement Calculation, and Service Credit Report
7A 7A-Medical Report fo...	7A-Medical Report for Disability Eligibility Review
HMDIS HMDIS-Disability Pla...	HMDIS-Disability Plans Health Insurance Enrollment Guide