FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Jose A. Chavez
RECOMMENDATION:
title
Review and determine the disability retirement application of Jose A. Chavez - County of San Bernardino - Probation.
body
Requested Benefit:
1. Service-Connected Disability Retirement with Supplemental Retirement Allowance
Staff Recommendation:
1. Jose A. Chavez is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. Jose A. Chavez’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. Jose A. Chavez is capable of gainful employment; therefore, deny the supplemental disability retirement allowance.
4. Staff shall initiate disability benefit payments with an effective date of August 17, 2019, the day after the last day of regular compensation.
BACKGROUND:
Medical Advisor - Shoaib Naqvi, M.D.
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