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Norfolk County Retirement System
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Forms For Disability

Supporting Documents

PDF icon Disability Glossary of Terms (127 KB)
PDF icon Accidental Disability Checklist (85 KB)
PDF icon Member's Form for Disability Retirement (434 KB)
PDF icon Physician's Statement Form (276 KB)
PDF icon Employer's Statement Form (334 KB)
PDF icon Involuntary Retirement Application (291 KB)
PDF icon Waiver for Physical Attendance at Regional Medical Panel Examinations (Covid-19) (294 KB)
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General
  • About
    • Board Members
    • Funding
    • Hours of Operation
    • Housing Authorities
    • News & Announcments
    • Special Districts
    • Towns
  • Employees
    • Creditable Service
    • Defined Benefit
    • Employers
      • Want to review or update your account from home?
    • Group Classifications
    • Types of Benefits
      • Accidental Death
      • Accidental Disability Retirement
      • Ordinary Disability Retirement
      • Superannuation
  • Retirees
    • Am I limited in the amount of income I earn or receive from other sources after my retirement for superannuation?
    • Find My Massachusetts Congressional Delegation
    • Find My State and County Elected Officials
    • Massachusetts Public Employee Retirement Guide
  • How Do I
    • Estimate Potential Benefits
    • Find a Form
    • Request a Public Record
    • View Rfps
  • Meetings
  • RFPs
    • 2023 Real Property Lease RFP
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720 University Avenue, Suite 120, Norwood, MA 02062 | Phone: (781) 821-0664

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