These forms can be obtained from the division’s website at http://frs.myflorida.com/

To apply for disability retirement under the Pension Plan or Investment Plan, you must submit the forms listed below. You may obtain these forms from your human resource office or by downloading them from FRS Online. You can locate these forms under Forms on the Members page of the division’s website at the link above. You may also write or call the Division of  Retirement to receive the forms.

  1. Members of the Pension Plan must complete an FRS Application for Disability Retirement, Form FR-13, and sign the application in the presence of a public notary. Your date of retirement  may depend, in
    part, on when the division receives this form. While you can send in the rest of the required forms and documents later, you should not delay in submitting your Form FR-13 while you gather other information.
  2. Members of the Investment Plan must complete an Investment Plan Application for Disability Retirement, Form PR-13, to apply for disability benefits.
  3. A Statement of Disability by Employer, Form FR-13a, must be completed by the person designated by your employer.
  4. Two copies of the Physician’s Report of Disability, Form FR-13b, must be completed by two different Florida-licensed physicians currently treating you who can attest that you are mentally or physically disabled from employment and that your disability is total and permanent. If you are employed in an FRS covered position and you are permanently assigned by your FRS employer to work outside the state of Florida but within the United States, then two licensed physicians of the state here you work may complete the form instead of two Florida-licensed physicians. Effective July 1, 2020, if you are receiving care at a federal Veterans Health Administration facility, two licensed physicians working at the facility may complete the form.
  5. Members of the Pension Plan must complete an Option Selection for FRS Members, Form FRS-11o, and sign the form in the presence of a notary public. Members of the Investment Plan must complete an Option Selection for Disability Retirement, Form PR-11o.
  6. Members of the Pension Plan must complete a Spousal acknowledgment Form, Form SA-1, verifying marital status and sign the form in the presence of a notary public. If you are married and select Option 1 or 2, your spouse must acknowledge your choice of option by signing the form in the presence of a notary public. Members of the Investment Plan must complete a Spousal Acknowledgment Form for Disability Retirement, Form SA-2. If you are married and select Option 3 or 4, you must submit a copy of your marriage certificate.
  7. If you are applying for in-line-of-duty disability benefits, you must also provide copies of each workers’ compensation Notice of Injury, as filed by your employer. If no such reports were filed, you should submit a written statement containing the following:
    • An explanation of why a Notice of Injury was not completed and why you did not apply for workers’ compensation benefits;
    • The dates, times, and circumstances surrounding each on-the-job accident or illness;
    • A statement from you explaining why you consider the accident or illness to have been suffered in the line of duty; and
    • A statement from your supervisor explaining why the accident or illness is considered to be job-related (suffered in the line of duty).
  8. The Division of Retirement will review your application and will let you know if additional information is needed from you, your employer, or your physicians. Examples of the types of additional information that could be required to determine your eligibility for disability benefits include the following:
    • Personal interviews with you, your employer, or your physicians;
    • An examination by a medical specialist;
    • A personal interview by a rehabilitation nurse; or
    • Workers’ compensation information from your employer or the third-party carrier administering workers’ compensation coverage for your employer.
  9. Once they receive the required information, the division will notify you in writing if your disability claim has been approved or denied. Reference: Sections 121.091(4)(c) and 121.591(2)(e), Florida Statutes Rule 60S-4.007, Florida Administrative Code
  10. Proof of Age: When you apply for disability retirement, you must provide proof of your age. If you choose benefit payment Option 3 or 4 you must also furnish proof of age for your joint annuitant. The division must receive any required proof of age before you can begin receiving benefits. A legible copy of one of the following documents will be accepted as proof of age:
    • Birth certificate issued by the state or country of birth;
    • Delayed birth certificate;
    • Census report more than 30 years old;
    • Life insurance policy more than 30 years old;
    • A state-issued driver’s license issued after Jan. 1, 2010, that indicates compliance with the federal REAL ID Act;
    • Certificate of Naturalization; or
    • Valid, unexpired U.S. passport.
  11. If you cannot furnish any of these documents, a legible copy of a document from two of the following categories will be required:
    • Birth certificate of child that displays your age or your joint annuitant’s age, as appropriate;
    • Baptismal certificate more than 30 years old;
    • Hospital record of birth; and/or
    • School record at the time which you or your joint annuitant entered grammar school.
    • Reference: Section 121.091(6), Florida Statutes
      Rule 60S-4.0035, Florida Administrative Code