Category: Standard Form 3112A

SF 3112A – OPM

The central focus of preparing a Federal Disability Retirement application under FERS or CSRS is the Applicant’s Statement of Disability – the Standard Form 3112A. All applicants who are filing for Federal Disability Retirement benefits must complete this form – regardless of whether one is under FERS or CSRS. It is a daunting, foreboding (and some would say, forbidding) form. People approach this form with fear and loathing, and for very good reasons: It requires the applicant to discuss the most personal aspects of the case: one’s medical condition and the impact of one’s medical conditions upon one’s job.

Applicant’s Statement Of Disability

Standard Form 3112A (Applicant’s Statement of Disability) is a form requiring the disability retirement applicant to state his or her injury or disease; to describe how the injury or disease “interferes with the performance” of one’s duties, attendance or conduct; and further asks one to describe “any other restrictions” of any activities which may be imposed by the disease or injury.

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