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This is the IRS definition of permanently and totally disabled -

 

Permanently and totally disabled. Your child is permanently and totally disabled if both of the following apply.
• Your child can't engage in any substantial gainful activity because of a physical or mental condition.
• A doctor determines the condition has lasted or can be expected to last continuously for at least a year or can lead to death.

 

If the child is under the age 19 indicating they are disabled has no affect on your tax return as your dependent.