Imrf disability form 5 42a 2025

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The document is a Physician's Statement for a Disability Claim, specifically IMRF Form 5.42. It requires detailed patient information, diagnosis, treatment history, and physician's validation to assess the patient's ability to work due to disability. The form must be completed accurately and submitted with medical records to avoid processing delays.

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What is the beneficiary designation for IMRF?

Primary Beneficiary(ies) If you do not have a valid Designation of Beneficiary form on file with IMRF, your estate is automatically your beneficiary. If you want any other arrangement, you must submit a Designation of Beneficiary form to IMRF. You can name any person, church, trust, charity or organization.

Can you roll over an IMRF?

You may roll over the payment to either an IRA (an individual retirement account or individual retirement annuity) or an employer plan [a tax-qualified plan, section 403(b) plan, or governmental section 457(b) plan] that will accept the rollover.

What is the Imrf 5.42 form?

Disability Claim (IMRF Form 5.42). You must give a Form 5.42 to each physician who is docHubing your disability. Form 5.42 is available online at .imrf.org. Your physician(s) must send the completed form to IMRF along with copies of your medical records from the date of your disability.

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How do I change my name on IMRF?

If name change is due to change in marital status, please attach Form 6.11, Designation of Beneficiary. You can download Form 6.11 from our website or update your beneficiaries online through Member Access at .imrf.org Please file a copy of this form with your employer.

Imrf disability form 5 42a 2025

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How do I change my name on IMRF?

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