FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Doreen E. Osborn
RECOMMENDATION:
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Review and determine the disability retirement application of Doreen E. Osborn.
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Requested Benefit:
1. Service-Connected Disability Retirement with Supplemental Retirement Allowance
Staff Recommendation:
1. Doreen E. Osborn is permanently incapacitated for the performance of duties and a disability retirement be granted.
2. Doreen E. Osborn’s disability is service-connected based on the claimed injury(ies)/disease as listed in Exhibit A; therefore, grant a service-connected disability benefit.
3. Doreen E. Osborn is capable of gainful employment; therefore, deny the supplemental disability retirement allowance.
4. Staff shall initiate disability benefit payments with an effective date of September 2, 2017 the day after the last day of regular compensation provided the benefit is requested in writing.
BACKGROUND:
Medical Advisor - Shoaib Naqvi, M.D.
Attorney - None
STAFF CONTACT:
David Lantzer
ATTACHMENTS:
Exhibit A: Claimed Injury or Disease
Exhibit B: Demographic Information
Exhibit C: Medical Advisor’s Report
Exhibit D: Independent Medical Examiner’s Report
Exhibit E: Applicant’s Statement of Facts and Physician’s Report
Exhibit F: Department Statement of Facts
Exhibit G: Job Description, Physical Requirements