Social Security Administration / Disability and Pension Fund / Retirement Board / Department of Veterans Affairs / City If / Bureau of Workers Compensation / Firemen’s Disability and Pension Fund / /
Position
person signing form Psychologist / physician / chiropractor / psychologist / physician / psychologist / Permanent and Total Disability Physician / federal agency representative / /
Reset Form DTE 105E Rev[removed]Certificate of Disability for the Homestead Exemption Attach this form to the homestead exemption application (form DTE 105A)