FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Justin Nielsen
RECOMMENDATION:
title
Review and determine the Service-Connected Disability Retirement application of Justin Nielsen - County of San Bernardino - Sheriff.
body
Requested Benefit:
1. Service-Connected Disability Retirement
Staff Recommendation:
1. Justin Nielsen is not permanently incapacitated for the performance of duties and a disability retirement should be denied.
2. If disability retirement is determined at a future hearings stage, the effective date will be the day after the last day of regular compensation as determined by staff.
BACKGROUND:
Medical Advisor - Lance R. Mohr, MD, 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
Exhibit E: Applicant’s Statement of Facts and Physician’s Report
Exhibit F: Department Statement of Facts
Exhibit G: Job Description, Physical Requirements