FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Jack G. DeJong
RECOMMENDATION:
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Approve the Service-Connected Disability Retirement application of Jack G. DeJong - San Bernardino County - County Fire.
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Requested Benefit:
1. Service-Connected Disability Retirement
Staff Recommendation:
1. Jack G. DeJong is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. Jack G. DeJong’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 June 29, 2024, the day after the last day of regular compensation.
BACKGROUND:
Independent Medical Examiner - Norman Linder, M.D.
Attorney - Michael Treger
STAFF CONTACT:
Barbara Hannah
ATTACHMENTS:
Exhibit A: Claimed Injury or Disease
Exhibit B: Demographic Information
Exhibit C: Independent Medical Examiner’s Report
Exhibit D: Applicant’s Statement of Facts
Exhibit E: Applicant’s Statement of Continuous Incapacity
Exhibit F: Physician’s Report
Exhibit G: Physician’s Statement of Continuous Incapacity
Exhibit H: Department Statement of Facts
Exhibit I: Job Description, Physical Requirements