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 **U.S. Railroad Retirement Board**
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          Sickness Benefits for Railroad Employees
          Instructions for Completing Forms
          Important Informtion
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              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 Important Informtion
							 
							
							
            The completed and signed form must be received by an RRB office within 10 days of the first day for which you want to claim benefits. You may lose benefits if your application is filed late. If the form is late, enclose an explanation.

Once your application has been processed, a claim form will be mailed to you for completion. You must complete and return the claim to the RRB office whose address appears on the claim. A notice of the claim will be sent to your employer. A claim for the next 14-day period will be mailed to you on or about the last day of the period covered by the claim.
        ‹ General Instructions | 
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                      Application for Sickness Benefits (Form SI-1a) ›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.
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U.S. Railroad Retirement BoardWilliam O. Lipinski Federal Building844 North Rush Street
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 Last updated: 04/14/2017