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Application Forms

To receive the disability benefits described in this booklet, you must file an application form. This chapter will explain the forms you must file to receive a disability benefit.

To expedite filing for a disability annuity, you or a family member should call or write the nearest Railroad Retirement Board (RRB) field office to schedule an appointment. For the appointment, bring in any medical evidence in your possession and any medical records you can secure from your treating physicians.

Disability Annuity

To receive monthly disability annuity payments, Form AA-1d, Application for Determination of Employee Disability, must be filed with Form AA-1, Application for Employee Annuity, and Form G-251, Vocational Report.

If you have filed for a disability annuity, you are automatically considered for a period of disability and early Medicare coverage.

Period of Disability and Early Medicare Coverage

• are disabled and applied for, or are already receiving, monthly annuity payments based on 30 years of railroad service at age 60 or later, or

• receive monthly disability payments but you did not previously qualify for a period of disability or early Medicare coverage when your annuity began.
  

Medical Evidence

When you apply for any type of disability benefit, it is your responsibility to prove to the RRB that you are "permanently disabled" . You must provide or tell us about any evidence which may show you are disabled.

How to Furnish Medical Evidence

You may furnish medical evidence in three ways:

1. We will give you a report form for your personal physician to complete. In this way, we can get information about your condition from the medical source that knows you best.
   
   
2. We will ask you to sign an authorization to release to the RRB any hospital, clinic or employer medical records about your condition.
   
   
3. We may ask you to be examined at the RRB’s expense if more evidence is needed to:

• obtain more detailed or specialized medical findings about your condition, or
  
• resolve conflicts or differences in the evidence already in file.

Acceptable Sources of Medical Evidence

The following are acceptable sources of medical evidence:

• Licensed physicians

• Licensed osteopaths

• Licensed or certified psychologists

• Licensed optometrists

• Persons authorized to send copies or summaries of the medical records of hospitals, clinics, sanitariums, medical institutions or health care facilities.

Other Sources of Information

Sometimes, information from other sources can be important to a decision about your ability to work, such as:

• public and private social welfare agencies,

• observations by non-medical sources (for instance, a vocational consultant),

• other practitioners (naturopaths, chiropractors, audiologists, etc.).

Failure to Submit Evidence

It is in your best interest to fully cooperate if medical or other evidence is needed so that the decision on your claim is made as quickly as possible and based on the best information available.

If you fail to submit medical evidence that is needed and requested, a decision will be made on the evidence available.

If you fail or refuse to report without good cause for an examination scheduled and paid for by the RRB, it may be decided that you are not disabled.

After You Return Your Application

After the RRB receives your completed application and all the needed evidence, the RRB will decide if you are entitled to disability benefits.

If you cannot receive disability benefits, the RRB will send you a notice explaining:

• why you cannot receive disability benefits, and

• what you can do if you disagree with the reason you cannot receive them.

If you can receive disability benefits, you will receive a notice that shows the amount of your monthly payments, if any, and other information about your benefits.

Sometimes the RRB will not be able to make a decision on your application without obtaining additional information. If so, an RRB representative will contact you by telephone or mail. You may be asked to send us additional forms, proofs or statements that are needed. You may also be asked to report for a medical examination.

The RRB will normally notify you of the decision on your application in 4 months or less. If you do not hear from us within that time, contact the nearest RRB office.

Periodic Review of Disability

Your case may be periodically reviewed to determine if your condition is still severe enough to prevent you from working. This is necessary to see if your disability annuity, period of disability, or early Medicare coverage should continue.

When your case is reviewed, we may ask you for information and evidence or to report for a medical examination.

Information and Assistance

Any time you need information or assistance, you may contact the nearest field office of the RRB. In addition to the personal attention you will receive, special booklets and other printed material are available. To locate the nearest RRB office visit our Web site at http://www.rrb.gov/field.html, or call our toll-free HelpLine at 1-800-808-0772.

If you need to personally visit one of our field offices, please call for an appointment. You will not be refused service if you do not have an appointment, but our staff can serve you better when an appointment is made. Most offices are open to the public from 9:00 a.m. to 3:30 p.m., Monday through Friday.

Vocational Rehabilitation Services

Vocational rehabilitation providers furnish a wide variety of services to help people with disabilities return to work. These services are designed to provide the client with the training or other services that are needed to return to work, to enter a new line of work, or to enter the workforce for the first time.

If you are disabled and want to work, you may contact the rehabilitation agency in your state directly at any time and let that agency know of your interest in receiving rehabilitation services to help go to work. The address and telephone number of the state vocational rehabilitation agency can be found in the telephone book.

Your Responsibilities

Rights to benefits under the Railroad Retirement Act also carry responsibilities for reporting events that may affect the payment of benefits. The RRB informs you of events you are obligated to report; and, if you do not comply, benefit overpayments can occur that have to be repaid, sometimes with interest and penalties. Part V of this booklet lists the events that you must promptly report to the RRB.

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