(1) All forms necessary to apply for disability benefits may be obtained from MPERA.

(2) The following forms must be completed and submitted to MPERA before the board will act on the application for disability benefits:

(a) application for disability benefit and summary of disability;

(b) VFCA duty questionnaire for disability retirement completed by the fire chief;

(c) attending physician's statement, including all medical records required to substantiate a disability claim;

(d) authorization to release information; and

(e) a Health Insurance Portability and Accountability Act (HIPAA) authorization.

(3) The requesting party may provide additional medical information for consideration until 21 days prior to the next scheduled board meeting or, if different, the board meeting at which the request will be considered.

History: 19-17-203, MCA; IMP; 19-17-603, 19-17-604, 19-17-605, MCA; NEW, 2011 MAR p. 2261, Eff. 10/28/11.