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Foreign Service Disability Retirement  (Close)

Download - DS-5004 Application for Retirement for Foreign Service
Download - DS-5012 Disability Retirement Foreign Service and Disability System (FSRDS)
Download - DS-5013 Disability Retirement Foreign Service Pension System (FSPS)
Download - DS-5023 Superior Officer's Statement (for Disability)
Download - DS-5024 Physician's Statement
Download - DS-5025 Request for Medical Records
Download - DS-5028 (& DS-5013) Disability Retirement FSPS ONLY

Once these documents are submitted, download and fill out the Foreign Service Retirement Package for your system.

Note: DS-5004 is included in this package and need not be duplicated.