FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of David Mathis
RECOMMENDATION:
title
Approve the Service-Connected Disability Retirement application of David Mathis - County of San Bernardino - County Fire.
body
Requested Benefit:
1. Service-Connected Disability Retirement
Staff Recommendation:
1. David Mathis is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. David Mathis’ 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 August 10, 2018, date of application.
BACKGROUND:
Medical Advisor - Shoaib Naqvi, M.D.
Attorney - Michael Treger, Esq. - Sraussner & Sherman
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
Exhibit E: Applicant’s Statement of Facts and Physician’s Report
Exhibit F: Department Statement of Facts
Exhibit G: Job Description, Physical Requirements