PURPOSE: This rule standardizes the information needed to make application for normal, work-related, or long-term disability benefits.

1. (1) Any employee applying for normal disability benefits under section 104.110.1, RSMo, work-related disability benefits under section 104.110.2, RSMo, or long-term disability benefits under section 104.110.8, RSMo, must submit the following forms provided by the retirement system:

   1. (A) Application for Disability Benefits, to be completed by the employee; and
   2. (B) Employer’s Statement of Disability, to be completed by the employer; and
   3. (C) Attending Physician’s Statement, to be completed by the employee’s physician.

AUTHORITY: sections 104.110, RSMo 1995 and 104.210.2 and 536.023.3, RSMo 1994.* Emergency rule filed Aug. 18, 1995, effective Aug. 28, 1995, expired Feb. 23, 1996. Original rule filed Aug. 18, 1995, effective Feb. 25, 1996.

*Original authority 104.110, RSMo 1955, amended 1961, 1969, 1972, 1976, 1979, 1984, 1986, 1988; 104.210, RSMo 1955, amended 1983, 1988; and 536.023, RSMo 1975, amended 1976.