FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Fidencio A. Davalos
RECOMMENDATION:
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Approve the Service-Connected Disability Retirement application of Fidencio A. Davalos - San Bernardino County - Sheriff.
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Requested Benefit:
1. Service-Connected Disability Retirement
Staff Recommendation:
1. Fidencio A. Davalos is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. Fidencio A. Davalos’ disability is service-connected based on the claimed injury(ies)/disease as listed in Exhibit A; therefore, grant a service-connected disability benefit.
3. Staff shall initiate disability benefit payments with an effective date of the day after the last day of regular compensation as determined by staff.
BACKGROUND:
Independent Medical Examiner - Lawrence A. Feiwell, M.D.
Attorney - None
STAFF CONTACT:
Barbara Hannah
David Lantzer
ATTACHMENTS:
Exhibit A: Claimed Injury or Disease
Exhibit B: Demographic Information
Exhibit C: Independent Medical Examiner’s Report
Exhibit D: Independent Medical Examiner’s Supplemental Report
Exhibit E: Applicant’s Statement of Facts and Physician’s Report
Exhibit F: Department Statement of Facts
Exhibit G: Job Description, Physical Requirements