Form RI 30-9 RI 30-9 Reinstatement of Disability Annuity Previously Terminate

Reinstatement of Disability Annuity Previously Terminated Because of Restoration to Earning Capacity

RI30-009_2024_04

Reinstatement of Disability Annuity Previously Terminated Because of Restoration to Earning Capacity

OMB: 3206-0138