Forms

Who Is Eligible to Apply for Benefits?
Any police officer or firefighter employed by an organization in unincorporated King County before October 1, 1977, is eligible for membership in the LEOFF-1 plan and benefits defined under RCW41.26 and the Disability Board Rules, Policies and Procedures.  Deadline for Submission of Claims
The King County Disability Retirement Board meetings are held the last Wednesday morning of every month from 9 a.m. to noon in Conference Room 118 on the first floor of the The Chinook Building at 401 Fifth Ave. in downtown Seattle. As a result, all completed claims need to be received in the Board office by the second Wednesday of the month in which you want them reviewed.

Disability Leave / Disability Retirement Application Forms click here

Medical Expense Reimbursement Application Forms click here

Dental Expense Reimbursement Application Forms click here

Information in the forms on this Web site is intended to help members complete the forms. To the extent that information is inconsistent with the King County LEOFF-1 Board rules or with any statute or other legal authority, the inconsistency will be resolved in favor of the Board rules and/or legal authority. If you have questions about the forms or specific plan details, please consult your LEOFF-1 employer or Board representative.