FROM: Barbara Hannah, Chief Counsel
SUBJECT: Disability Retirement Application of Rick W. Boucher
RECOMMENDATION:
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Approve the Service-Connected Disability Retirement application of Rick W. Boucher - San Bernardino County - County Fire.
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Requested Benefit:
1. Service-Connected Disability Retirement
Staff Recommendation:
1. Rick W. Boucher is permanently incapacitated for the performance of duties and a disability retirement should be granted.
2. Rick W. Boucher’s disability is service-connected based on the claimed injury(ies)/disease as listed in Exhibit A (presumption pursuant to Gov. Code §31720.91); 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, which is the day after the expiration of his Labor Code section 4850 leave as communicated by the employer.
BACKGROUND:
Independent Medical Examiner - Matthew House, D.O.
Attorney - Michael Treger, Esq.
STAFF CONTACT:
Barbara Hannah
David Lantzer
ATTACHMENTS:
Exhibit A: Claimed Injury or Disease
Exhibit B: Demographic Information
Exhibit C: Independent Medical Examiner’s Report
Exhibit D: Applicant’s Statement of Facts and Physician’s Report
Exhibit E: Department Statement of Facts
Exhibit F: Job Description, Physical Requirements