Sf 3112 fillable form-2025

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The package includes Standard Form 3112A (Applicant's Statement of Disability), Standard Form 3112B (Supervisor's Statement), Standard Form 3112C (Physician's Statement), Standard Form 3112D (Agency Certification of Reassignment and Accommodation Efforts), and Standard Form 3112E (Disability Retirement Application Checklist).
If you are not separated from Federal Service, return all completed forms to your agency's personnel office. If separated for more than 31 days, assemble your application package and send it directly to OPM at the specified address.
OPM must receive your application no later than one year after the date you separated from your position.
Yes, if applying under FERS or CSRS with offset service, you must document that you have applied for Social Security disability benefits and attach the application receipt or award notice.
Your physician must provide a comprehensive history of your medical condition, including symptoms, treatment plans, and any restrictions on activities.
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Both physical and mental conditions can qualify you for Federal Disability Retirement including musculoskeletal, cardiovascular, neurological disorders, severe mental health issues, autoimmune diseases, respiratory illnesses, cancer, and major sensory impairments.
Federal regulations (5 CFR 213.3102(u)) give individuals with a documented intellectual disability, a severe physical disability, or a psychiatric disability the ability to apply to Federal Government announcements. Your eligibility does not guarantee you to a job within the Federal Government.
Use form SF 3107, FERS Application for Immediate Retirement, to apply for immediate retirement. You can obtain the form from your employing agency. Submit the completed application to your employing agency. Give your agency at least 60 days notice before the date you intend to retire.
OPM Disability Retirement. Standard Form 3112 is the most vital document for federal employees seeking federal disability retirement. We cannot emphasize strongly enough how important it is to fill out an SF-3112 form correctly. Even simple mistakes can delay or upend your disability retirement application.
Disability Evaluation Under Social Security Listing of Impairments - Adult Listings (Part A) 1.00. Musculoskeletal Disorders. 2.00. Special Senses and Speech. 3.00. Respiratory Disorders. 4.00. Cardiovascular System. 5.00. Digestive Disorders. 6.00. Genitourinary Disorders. 7.00. 8.00. Skin Disorders.

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