The retirement system manager shall receive and file applications or requests for benefits or refunds which shall be on a form provided by the manager. An application or request may be filed by the member or by any person authorized by the Charter to make such request. The application or request shall be in the form of a declaration under penalty of perjury and shall contain, among other things, the following:
A. Service Retirement Benefits. The name of the applicant, his or her current mailing address, the number of years of service rendered to the city by the member, the department in which the member is employed, the title of the position held, and other data relative to his or her age, date of marriage, beneficiaries and dependents, and a statement that the member has reached the age of retirement as required by the retirement plan of the system under which he or she is a member which entitles the member to a service retirement. The application shall state the date upon which the service retirement is to be effective, which date shall not be sooner than the fifteenth day following the date of the application, unless an earlier effective date is authorized by the retirement system manager prior to the filing of the application; provided, however, that the effective date of a service retirement allowance shall in no event be sooner than the day following the date upon which the member is last an employee of the city.
B. Ordinary Disability Retirement or Industrial Death Benefits. All of the data provided for in subsection A of this section and in addition thereto, the applicant shall describe with reasonable specificity the disability and the reasons why such disability prevents the member from performing the duties of his or her office of position with the city for an extended and uncertain duration.
C. Industrial Disability Retirement or Industrial Death Benefits. All of the data provided for in subsections A and B of this section and in addition thereto a statement containing the date of the alleged injury, illness, or death, where and when it occurred, and a description of the circumstances surrounding its occurrence, and a description with reasonable specificity of the disability or nature of death resulting from said injury or illness. If a disability, the application shall contain the reasons why such disability prevents the member from performing the duties of his or her office or position with the city for an extended and uncertain duration. If the application is for industrial death benefits, the application shall include the member's death certificate and names and addresses of his or her alleged beneficiaries.
D. Ordinary Death Benefits. All of the data provided for in subsection A of this section and in addition thereto a certified copy of the member's death certificate and the names and addresses of his or her alleged beneficiaries.
E. Additional Data for Disability Retirements. The applicant shall attach to his or her application or request for an ordinary or industrial disability retirement copies of all written medical reports or medical data relating to the claim of disability which are available to the applicant or his or her attorney at the time of the filing of the application.
F. Applications Filed Prior to January 1, 1977. All applications for benefits filed prior to January 1, 1977, which were not acted upon by the retirement board, as it existed prior to January 1, 1977, shall be deemed to have been filed with the retirement system manager.
G. Amended Application. At any time prior to the decision of the retirement system manager on the application, the applicant may amend the application or may supplement it with additional information or data, including medical reports or supportive medical data. To the extent that any amendment supercedes the original application in whole or in part, the amended application shall be the only application considered for any purpose by the retirement system manager, hearing officer or retirement hearing commission. An amendment or supplement shall be verified under penalty of perjury if such verification is requested by the retirement system manager. (Prior code § 34.13.1301)