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Statement of Sickness (Form SI-1b)

 

 

 
  1. Home
  2. Sickness Benefits for Railroad Employees
  3. Instructions for Completing Forms
  4. Statement of Sickness (Form SI-1b)
 
 

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
Statement of Sickness (Form SI-1b)

 

The SI-1b, Statement of Sickness must be completed by your doctor or other qualified medical provider (see the section Medical Statements). If possible, have your doctor complete the statement while you are at his or her office, rather than leaving the form for completion. If you must leave the form for completion, explain to your doctor that the form is needed in order for you to receive bi-weekly benefit payments and that the form must be received by the Railroad Retirement Board within 10 days of the first day you became sick or injured or you may lose benefits.

Do not separate the SI-1b, Statement of Sickness from your SI-1a, Application for Sickness Benefits.

 

‹ Application for Sickness Benefits (Form SI-1a) | Up | Statement of Authority to Act for Employee (Form SI-10) ›

 

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U.S. Railroad Retirement Board
William O. Lipinski Federal Building
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Last updated: 05/09/2017