LAC 58:XXV.801

LAC 58:XXV.801. Application Process

Last amended: 2025Year: 2026Length: 141 wordsOfficial source

Cite as La. Admin. Code tit. 58, pt. XXV, § 801

A. Disability applications should be submitted before the member exhausts all leave or terminates employment. B. Disability applications will be processed upon receipt of the following: 1. disability application by the member; 2. disability report by supervisor; 3. member statement of disabling condition; 4. copies of all medical records pertaining to the disability; 5. authorization to request income information from the member; 6. authorization for direct deposit; 7. copy of member’s birth certificate and Social Security card; 8. copy of beneficiary’s birth certificate and Social Security card, if applicable; 9. spousal consent form if legally married and maximum option is chosen; 10. copy of certificate of elected service if the member is an elected official in Tier 1; 11. copy of death certificate of spouse if member’s spouse is deceased; and 12. certified copy of divorce decree if member is divorced.
LAC 58:XXV.801: LAC 58:XXV.801. Application Process | Justis AI