FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of John Holmes
RECOMMENDATION:
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Approve the Service-Connected Disability Retirement application of John Holmes - County of San Bernardino - Probation.
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Requested Benefit:
1. Service-Connected Disability Retirement
Staff Recommendation:
1. John Holmes is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. John Holmes’ 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 the day after the last day of regular compensation as determined by staff.
BACKGROUND:
Medical Advisor - Lance Mohr, M.D., MPH.
Attorney - None
STAFF CONTACT:
David Lantzer
ATTACHMENTS:
Exhibit A: Claimed Injury or Disease
Exhibit B: Demographic Information
Exhibit C: Medical Advisor’s Report
Exhibit D: Independent Medical Examiner’s Report - Dr. Rothberg 07/02/2019
Exhibit E: Independent Medical Examiner’s Report - Dr. Rothberg 11/11/2019
Exhibit F: Applicant’s Statement of Facts and Physician’s Report
Exhibit G: Department Statement of Facts
Exhibit H: Job Description, Physical Requirements