FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Elizabeth Clark
RECOMMENDATION:
title
Approve the Nonservice-Connected Disability Retirement with Supplemental Retirement Allowance of Elizabeth Clark - San Bernardino County - Behavioral Health.
body
Requested Benefit:
1. Nonservice-Connected Disability Retirement with Supplemental Retirement Allowance
Staff Recommendation:
1. Elizabeth Clark is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. Elizabeth Clark’s disability is non-service connected based on the claimed injury(ies)/disease as listed in Exhibit A; therefore, grant a nonservice-connected disability benefit.
3. Elizabeth Clark is not capable of gainful employment; therefore, grant the supplemental disability retirement allowance.
4. Staff shall initiate disability benefit payments with an effective date of July 15, 2023, the day after the last day of regular compensation.
BACKGROUND:
Medical Advisor - Lance Mohr, M.D., MPH.
Attorney - None
STAFF CONTACT:
Barbara Hannah
David Lantzer
ATTACHMENTS:
Exhibit A: Claimed Injury or Disease
Exhibit B: Demographic Information
Exhibit C: Medical Advisor’s Report
Exhibit D: Applicant’s Statement of Facts and Physician’s Report
Exhibit E: Department Statement of Facts
Exhibit F: Job Description, Physical Requirements