FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Nicholas Tollefson
RECOMMENDATION:
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Approve the Service-Connected Disability Retirement application of Nicholas Tollefson - San Bernardino County - Sheriff.
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Requested Benefit:
1. Service-Connected Disability Retirement
Staff Recommendation:
1. Nicholas Tollefson is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. Nicholas Tollefson’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 May 9, 2026, the day after the last day of regular compensation.
BACKGROUND:
Independent Medical Examiner - Nicholas A. Kusnezov, M.D.
Attorney - Mike Treger, Esq.
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: Disability Retirement Application Amendment 1
Exhibit F: Disability Retirement Application Amendment 2
Exhibit G: Physician's Report - Dr. Nassos 01-23-2025
Exhibit H: Physician's Report - Dr. Friedman 10-28-2025
Exhibit I: Department Statement of Facts
Exhibit J: Supplemental Department Statement
Exhibit K: Job Description, Physical Requirements