2023 RUIA Tax Forms Available in myRRB - Read More... Search
    
      Search
  
  
  Search myRRB
 **U.S. Railroad Retirement Board**
 Our AgencyAgency OverviewOffice of the ChairmanChairmanChairman Staff DirectoryOffice of the Labor MemberLabor Member of the BoardLabor Member Staff DirectoryPre-Retirement SeminarsEducational MaterialsQuestions and AnswersOffice of the Management MemberManagement Member of the BoardManagement Member Staff DirectoryOffice of Inspector GeneralOffice of Inspector GeneralAuditInvestigationsHotline to Report Fraud, Waste and AbuseLibraryWhistleblower Protection InformationOrganization ChartBenefitsRetirementGeneral InformationDownloadable FormsmyRRBSurvivorGeneral InformationDownloadable FormsmyRRBDisabilityGeneral InformationDownloadable FormsmyRRBUnemploymentGeneral InformationDownloadable FormsmyRRBSicknessGeneral InformationDownloadable FormsmyRRBIncome TaxGeneral InformationDownloadable FormsmyRRBMedicareGeneral InformationmyRRBEn EspañolmyRRBEmployersEmployer Online ServicesERSNet LoginEFTPS.govPay.govFormsRailLaborReporting InstructionsRailLaborCreditable SicknessPublicationsEmployer Exchange NewsletterProgram and Circular LettersAdditional InformationResourcesRailroad JobsLegal InformationBoard OrdersThe Federal RegisterLegal Opinions and Board Coverage DecisionsPartition of Railroad Retirement AnnuitiesAdministrative Staff Manuals IndexPay Debts OnlineOffice of Equal OpportunityOverviewEEO PoliciesFiling A Complaint of DiscriminationNo FEAR ActFrequently Asked QuestionsRRBVision Video LibraryAppealsRailroad Retirement HandbookFOIA Reading RoomGlossary of RRB TermsFinancial & ReportingAgency ReportsInventoriesPlansReportsFinancial, Actuarial & StatisticalBudget and Financial Reports: Current and ProjectedPerformance and Accountability ReportsEarnings Limits, Tax Rates and COLAsAnnualMonthly & Quarterly RRA and RUIA DataNational Railroad Retirement Investment TrustNRRIT IntroductionBackground InformationReportsCorrespondenceNewsroomNews ReleasesMedia ContactField Office LocatorFAQ
 Application Forms
 Home
          Widow(er)'s Disability Benefits
          Part I - General Information
          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 ›To view and download PDF documents, you need the free Acrobat Reader. We recommend using the latest version. Viewers with visual disabilities can go to Adobe's Access Website for tools and information that will help make PDF files accessible.Get Adobe Acrobat Reader
To view and download PDF documents, you need the free Acrobat Reader. We recommend using the latest version. Viewers with visual disabilities can go to Adobe's Access Website for tools and information that will help make PDF files accessible.
 JobsRailroad Jobs



HotlineFraud Hotline

RSSField Office Locator
 RRB Seal

U.S. Railroad Retirement BoardWilliam O. Lipinski Federal Building844 North Rush Street
Chicago, IL 60611-1275
Toll Free: (877) 772-5772
TTY: (312) 751-4701
Directory: (312) 751-4300

Privacy PolicyPolicies & LinksSite MapContact UsRRB CareersWebsite Feedback

PlainLanguage.govData.govBenefits.govUSA.govRRB @ Data.govVote.gov

Freedom of Information ActNo FEAR Act DataOffice of Special CounselPlain Writing @ RRBOpen Gov @ RRBOffice of Inspector General
 Last updated: 07/26/2019