Forms Catalog Document - SI-1b :-: RRB :-: Statement of Sickness

Forms.gov - The U.S. Government's Official Hub for Federal Forms

Skip Navigation

Home

Forms FAQs

Give Feedback

Locate a Form

By Agency

By Agency/Subagency

By Form Number

By Form Name(A-Z)

Frequently Used Forms

Tax Forms

Small Business Forms

Social Security Forms

Veteran Benefit Forms

FEMA Forms

Statement of Sickness

Submitted to the RRB when a railroad employee claims sickness benefits (Form SI-1a), Form SI-1b, Statement of Sickness, is completed by a railroad employee's doctor to support his/her claim of inability to work because of illness or injury. Form SI-1b is included inside RRB Booklet UB-11. The UB-11 booklet provides instructions for completing Forms SI-1a and SI-1b as well as information about the requirements for receiving sickness insurance benefits.

Form #: SI-1b
Agency: Railroad Retirement Board

	TYPE	PAGES	SIZE (KB)	CAPABILITY	WHAT'S NEEDED
	Form Only	0	0	[2] Printable Only	Adobe Reader Download

Still Cannot Find a Specific Form Here?

If you do not find the form you need in the E-Forms Catalog we suggest:

Search through the Agency Forms links.

Search USA.gov, a connection to the U.S. Government's information and services.

Search GSA (GS), Standard (SF) and Optional (OF) Forms, the General Services Administration's library for GSA internal forms and government-wide Standard and Optional Forms.