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 **U.S. Railroad Retirement Board**
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 General Instructions
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          Sickness Benefits for Railroad Employees
          Instructions for Completing Forms
          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 | 
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 Last updated: 05/09/2017