We encourage you to contact TRA to request a disability benefit estimate and additional details about applying for permanent and total disability benefits.
Contact TRA at 651-296-2409 or 800-657-3669.
View our Disability Coverage booklet.
Forms are provided in PDF format. Open and print these forms using Adobe® Acrobat® Reader.
ALL forms must be completed and returned to:
Teachers Retirement Association
60 Empire Drive, Suite 400
St. Paul, MN 55103-4000
|Disability Benefit Application|
|Physician Report (medical examination reports (print two copies)*|
|Medical Release of Information|
|Employer Certification of Service Separation|
|Federal and State Withholding Certificate|
|Direct Deposit Agreement||TRA-4400|
*One Medical Examination Report may be completed by a licensed physician, chiropractor or psychologist, while the second report must be completed by a licensed physician.