N.J. Admin. Code § 17:5-8.5

Current through Register Vol. 56, No. 23, December 2, 2024

Section 17:5-8.5 - Filing requirements

(a) To apply for benefits pursuant to 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 requested 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. The interaction or supervision required pursuant to (c)2 above occurred within the 14 days preceding the appearance of symptoms consistent with COVID-19.

N.J. Admin. Code § 17:5-8.5

Adopted by 55 N.J.R. 2354(b), effective 11/20/2023