RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit

OMB 3206-0254

OMB 3206-0254

Form RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit is used by retirees separated for disability and the survivors of retirees separated for disability to request that Retirement Operations review the computations of disability annuities to include the formulae provided in law for individuals who performed service as law enforcement officers, firefighters, nuclear materials carriers, air traffic controllers, Congressional employees, and Capitol and Supreme Court police. There were editorial changes to the Public Burden Statement. A Privacy Act Statement has been added due to a systematic review.

The latest form for RI 20-123, Request for Case Review for Enhanced Disability Annuity Benefit expires 2022-12-31 and can be found here.


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