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You have a right to receive a copy of it. To apply for PTD benefits, your treating physician must complete the Doctor's Certificate specifically for Permanent Total Disability (4 pages).All of the information contained in this application for benefits is necessary to properly adjudicate the request. Requesting PTD benefits. To request PTD, complete the Application for Compensation for Permanent Total Disability form. How do I apply for permanent total disability (PTD) benefits? 1. How do I contact the Department of Labor about my Special Fund benefits? Permanent total disability (PTD) is payable to employees who are never able to return to gainful employment. This video explains one of the four main types of wage replacement insurance benefits under workers' compensation in Tennessee. To apply for PTD benefits, your treating physician must complete the Doctor's Certificate specifically for Permanent Total Disability (4 pages).