Montgomery County Public Schools

Employee and Retiree Service Center → Employees → Retirement Planning →Disability Retirement

Disability Retirement

Montgomery County Public School’s pension plan provides important disability coverage in the unfortunate event that an injury or illness permanently incapacitates you from performing your job duties.

Applying for a disability retirement benefit is a two-step process.

1. Apply for disability. The application forms you submit are dependent upon your core pension plan membership. Application forms for MCPS core pension plan members and Maryland State Teachers Pension System (State core plan) members are listed below.
2.  Once approved for disability, complete your retirement forms. Retirement forms are also dependent upon your core plan membership. See the section of your core plan below for a link to your retirement forms.

MCPS Core Plan Members

Learn more about disability retirement benefits offered to MCPS core plan members (PDF).

Application Forms

To apply for disability retirement benefits, you must submit the following forms to the Employee and Retiree Service Center:

• MCPS Form 455-24: Statement of Disability and Medical Release 
• MCPS Form 455-25: Attending Physician's Statement
  To be completed by the attending physician. Physician may attach any additional documentation if necessary.
• MCPS Form 455-23: Preliminary Application for Disability Benefits 
• MCPS Form 455-2A: Request for Estimate of Retirement Benefits 
• MCPS Form 455-14: Acknowledgement of Medicare Enrollment Requirements for All Disability Retirees 

 Download a printable checklist of forms (PDF) to make sure you have everything you need.

You will be notified in writing if disability benefits have been denied, deferred, or approved. If approved, you must then submit all retirement forms to ERSC.

State Core Plan Members

Learn more about disability retirement benefits offered to State core plan members.

Application Forms

To apply for disability retirement benefits, you must submit the following forms to the Employee and Retiree Service Center:

• State Form 20: Statement of Disability 
• State Form 21A: Application for an Estimate of Disability Retirement Allowances 
• State Form 129: Preliminary Application for Disability Retirement 
• MCPS Position Description 
• MCPS Form 455-14: Acknowledgment of Medicare Enrollment Requirements for All Disability Retirees 

Download a printable checklist of forms (PDF) to ensure you have everything you need.

The State Retirement Agency (SRA) will notify you in writing if disability benefits have been denied, deferred, or approved. You will have 120 days from the date of the approval stated on the letter from the SRA to complete the forms and to accept the disability retirement. If approved, you must then submit all retirement forms to ERSC.