Dept/ Agency: Administration/Division of Personnel Action: ( ) Ratifying (X) Authorizing ( ) Amending Type of Service: Involuntary Disability Retirement Purpose: Authorization for the City of Newark to process an Involuntary Disability Retirement Application. Employee Name: Kiyata I. Derrick Contract Basis: ( ) Bid ( ) State Vendor ( ) Prof. Ser. ( ) EUS ( ) Fair & Open ( ) No Reportable Contributions ( ) RFP ( ) RFQ ( ) Private Sale ( ) Grant ( ) Sub-recipient (X) n/a Additional Information: