Tmrs disability form 2026

1. Click ‘Get Form’ to open the tmrs disability form in the editor.
2. Begin by entering the member's information, including their name, Social Security Number, mailing address, and daytime phone number. Ensure all entries are clear and legible.
3. In the Disability Information section, provide a detailed diagnosis of the physical or mental disability. If necessary, attach additional sheets for comprehensive descriptions.
4. Fill in the dates related to the onset of the condition and any visits made for treatment. Indicate whether you are still attending to the member by checking 'yes' or 'no'.
5. List all other physicians who have attended to the member during their present disability, including their names and addresses.
6. Describe pertinent symptoms and findings related to the diagnosis. Attach any relevant medical reports such as CAT scans or MRIs.
7. Review the attached City Statement for Occupational Disability form (TMRS-40/OA) and indicate if the member can perform all job duties as described. If not, specify which activities they cannot perform.
8. Complete the Physician Information section by providing your name, mailing address, signature, and date signed.

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