FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Kaysie N. Smith
RECOMMENDATION:
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Approve the Service-Connected Disability Retirement application of Kaysie N. Smith - San Bernardino County - Sheriff.
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Requested Benefit:
1. Service-Connected Disability Retirement
Staff Recommendation:
1. Kaysie N. Smith is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. Kaysie N. Smith’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. Staff shall initiate disability benefit payments with an effective date of October 3, 2026, the day after the last day of regular compensation.
BACKGROUND:
Independent Medical Examiner - Nicholas A. Kusnezov, M.D.
Independent Medical Examiner - Robert O. Ruder, M.D.
Attorney - None
STAFF CONTACT:
Barbara Hannah
ATTACHMENTS:
Exhibit A: Claimed Injury or Disease
Exhibit B: Demographic Information
Exhibit C: Independent Medical Examiner’s Report - Dr. Kusnezov 06/13/2026
Exhibit D: Independent Medical Examiner’s Report - Dr. Ruder 09/01/2026
Exhibit E: Applicant’s Statement of Facts
Exhibit F: Physician’s Report
Exhibit G: Department Statement of Facts
Exhibit H: Job Description, Physical Requirements