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U.S. Railroad Retirement Board
U.S. Railroad Retirement Board

 

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General Instructions

 

 

 
  1. Home
  2. Sickness Benefits for Railroad Employees
  3. Instructions for Completing Forms
  4. General Instructions
 
 

Topics

  • Introduction
  • Qualification Requirements
  • Amount and Duration of Benefits
  • Eligibility Requirements
  • Medical Statements
  • Sick Pay and Supplemental Sickness Benefits
  • Disqualifications
  • Benefit Reductions
  • Personal Injury Settlements
  • Reconsideration and Waiver
  • When Sickness Benefits are Taxable
  • Instructions for Completing Forms
    • General Instructions
    • Important Informtion
    • Application for Sickness Benefits (Form SI-1a)
    • Statement of Sickness (Form SI-1b)
    • Statement of Authority to Act for Employee (Form SI-10)
    • Claim for Sickness Benefits (Form SI-3)
  • Notices
  • Checking Your Benefits by Telephone
  • Important Reminders
General Instructions

 

Complete all items by typing or printing neatly in ink. Do not skip any items unless directed to do so. If you need more space to answer a question, enclose a separate sheet of paper. Be sure to sign your name and date the form before mailing. Have your doctor complete Form SI-1b, Statement of Sickness. Do not separate the Forms SI-1a and SI-1b.

Read the following instructions carefully before completing your SI-1a application. If your application is not completed correctly, your benefits may be delayed. Contact your local RRB office if you have questions or need assistance in completing the form. If you are completing the application for the employee, refer to the instructions on completing Form SI-10, Statement of Authority to Act for Employee.

 

‹ Instructions for Completing Forms | Up | Important Informtion ›

 

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U.S. Railroad Retirement Board
William O. Lipinski Federal Building
844 North Rush Street
Chicago, IL 60611-1275
Toll Free: (877) 772-5772
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Last updated: 05/09/2017