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Application Forms

 

 

 
  1. Home
  2. Widow(er)'s Disability Benefits
  3. Part I - General Information
  4. Application Forms
 
 

Topics

  • Part I - General Information
    • Application Forms
    • Medical Evidence
    • After You Return Your Application
    • Periodic Review of Disability
    • Information and Assistance
  • Part II - About Your Disability Annuity
  • Part III - Applying for Early Medicare Coverage
  • Part IV - Events That Can Affect Your Disability
  • Part V - Glossary
  • Nondiscrimination on the Basis of Disability
  • Fraud, Waste, and Abuse Hotline
Application Forms

 

RB-17b (03-19)
pdf iconRB-17b (03-19)_1.pdf (51.21 KB)

 

To receive the disability benefits described in this publication, you must file an application form. This section will explain the forms you need for the disability benefit for which you are filing.

Disability Annuity

To receive monthly disability annuity payments, Form AA-17b, "Application for Determination of Widow(er)'s Disability", must be filed along with Form AA-17, "Application for Widow(er)'s Annuity". Form G-251, "Vocational Report", is also required if you have ever worked.

If you have filed for a disability annuity, you are automatically considered for early Medicare.

Early Medicare Coverage

If you already receive a monthly railroad retirement annuity payment, you may file Form AA-17b for early Medicare coverage. Normally, you would do this if:

  • you are disabled and applied for, or are already receiving, regular monthly annuity payments based on age or caring for a child of the employee, or
     
  • you receive monthly disability annuity payments but you did not previously qualify for early Medicare coverage when your annuity began.

See Part III for more information on early Medicare coverage.

 

‹ Part I - General Information | Up | Medical Evidence ›

 

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U.S. Railroad Retirement Board
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Last updated: 07/26/2019