FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Michael D. Sandoval
RECOMMENDATION:
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Approve the Service-Connected Disability Retirement application of Michael D. Sandoval - San Bernardino County - County Fire.
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Requested Benefit:
1. Service-Connected Disability Retirement
Staff Recommendation:
1. Michael D. Sandoval is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. Michael D. Sandoval’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 December 13, 2025, the day after the last day of regular compensation.
BACKGROUND:
Independent Medical Examiner - Jack Rothberg, 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 Facts / Statement of Continuous Incapacity Addendum
Exhibit F: Applicant’s Statement of Facts / Cumulative Trauma
Exhibit G: Applicant’s Statement of Facts / Post-Traumatic Stress Disorder Presumption Addendum
Exhibit H: Physician’s Report
Exhibit I: Department Statement of Facts
Exhibit J: Job Description, Physical Requirements