New Jersey Administrative Code
Title 17 - TREASURY - GENERAL
Chapter 2 - PUBLIC EMPLOYEES' RETIREMENT SYSTEM
Subchapter 10 - COVID-19 ACCIDENTAL DISABILITY
Section 17:2-10.5 - Filing requirements

Universal Citation: NJ Admin Code 17:2-10.5

Current through Register Vol. 55, No. 48, December 18, 2023

(a) To apply for benefits under this subchapter, a member or retiree must file a COVID-19 Medical Questionnaire form (available on the Division's website) in its entirety and provide all required documents.

(b) Required documents are:

1. A copy of positive COVID-19 test results; and

2. A certification from a licensed health care provider. If an accident report is available, it shall be provided to the Division.

(c) The required licensed health care provider's certification, as required pursuant to (b)2 above, must document that:

1. The member or retiree is totally and permanently disabled as a result of his or her exposure to COVID-19 during work-related duties; and

2. The work-related duties required interaction with the public, or directly supervising other personnel so interacting with the public, during the public health emergency declared by the Governor in Executive Order 103 (2020).
i. That such interaction or supervision required pursuant to this paragraph occurred within the 14 days preceding the appearance of symptoms consistent with COVID-19.

Adopted by 55 N.J.R. 749(a), effective 4/17/2023

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