FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Casey C. Salazar
RECOMMENDATION:
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Approve the Service-Connected Disability Retirement with Supplemental Retirement Allowance application of Casey C. Salazar - County of San Bernardino - Environmental Health.
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Requested Benefit:
1. Service-Connected Disability Retirement with Supplemental Retirement Allowance
Staff Recommendation:
1. Casey C. Salazar is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. Casey C. Salazar’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. Casey C. Salazar is not capable of gainful employment; therefore, grant the supplemental disability retirement allowance.
4. 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
Exhibit E: Applicant’s Statement of Facts and Physician’s Report
Exhibit F: Department Statement of Facts
Exhibit G: Job Description, Physical Requirements