Arizona Department of Public Safety
2102 West Encanto Boulevard, Third Floor
Technical Services Division Conference Room
Phoenix, AZ 85009

AND

Via Microsoft Teams
Online Meeting ID: 249 182 478 898
Online Meeting Passcode: JZ3WD4
Dial in by phone: 213-204-8277
Phone conference ID: 369 124 07#

The Arizona Department of Public Safety Public Safety Personnel Retirement System Local
Board will conduct a rehearing of Mr. Derek Ortiz’s accidental disability pension application.

Legal Authority and Jurisdiction under Which the Hearing Is To Be Held
The rehearing of the Accidental Disability Application of Mr. Ortiz shall be held pursuant to
A.R.S. § 38-847, subsection H, and A.A.C. R13-8-112.

Particular Sections of the Statutes and Rules Involved
The rehearing is to determine whether Mr. Ortiz qualifies for an accidental disability pension
under A.R.S. Title 38, Chapter 5, Article 4, specifically A.R.S. §§ 38-842 and 38-844.

Statement of the Matters Asserted
Mr. Ortiz applied for an accidental disability pension that was denied by the Local Board
because Mr. Ortiz did not provide documentation supportive of the permanency of his of
disability as required by A.R.S. §§ 38-842(1) and 38-844(B). Mr. Ortiz contends that his
disability is permanent and that the Board should establish a Medical Board to review his
application.

1 By agreement with Counsel for Mr. Ortiz, this Notice is being posted two days prior to the
rehearing. The parties agree that Mr. Ortiz faces no prejudice by the posting of this Notice.