Transmittal Letter for Form RL-8A

UNITED STATES OF AMERICA

RAILROAD RETIREMENT BOARD

PROPOSED

WWW.RRB.GOV
OFFICE HOURS: M-T-TH-F 9:00 AM TO 3:30 PM
WEDS. 9:00 AM TO 12:00 PM - CLOSED FEDERAL HOLIDAYS

TOLL-FREE NUMBER: 1-877-772-5772

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In reply refer to

This is in regard to your occupational disability benefits from the Railroad Retirement Board (RRB).
It is your responsibility as a disability annuitant to report to us any improvement in your
impairment(s), work, earnings, and/or certain other events that may affect your right to receive
disability benefits. When you filed for your disability annuity you received application booklets,
RB-1D, Employee Disability Benefits, RB-1D.1, How Work and Earnings Can Affect Employees
Initially Awarded Disability Annuities, and RB-9, Employee and Spouse Events that Must be
Reported. You may have also received Form RL-4, Annual Disability Reminder, and Form RL-7,
Important Reminder About Your Railroad Retirement Benefits. These were provided to you to
remind you of your responsibility to report to us events that may affect your disability benefits.
At this time we have enclosed Form RL-8A, Occupational Disability Certification, for your
completion. After entering your response to each question, sign the certification, date, and return it
in the enclosed self-addressed envelope. The RRB may contact you for additional information or
clarification based on your responses to ensure the continuance of your disability annuity. If you
do not return the signed certification to us within 30 days from the date of this letter, we will
automatically conduct a Continuing Disability Review.
If you have any questions concerning this letter or the enclosed certification, please contact an
RRB representative at our toll-free number.

Enclosures
Form RL-8A
Self-Addressed Envelope

RL-8 (xx-xx)