An individual is an adopted child if he or she was legally adopted by, or in a parent-child relationship with, the Public Safety Officer as of the date of the fatal or catastrophic injury.
Any child of a Public Safety Officer who, at the time of the Officer's fatal or catastrophic injury, was over 18 years of age and not a full-time student, or, was a full-time student but over 22 years of age.
The Chief Executive Officer of the employing agency, i.e. the Superintendent, Fire Chief, Police Commissioner. Generally will not serve as the Agency Point of Contact.
Agency Point of Contact
The agency representative who provides information about the Public Safety Officer’s fatal or catastrophic injury to complete the application.
The individual applying for benefits.
This is last opportunity to edit your application before submitting.
Assistance received from other sources (Education Benefits)
When adding documentation for additional educational assistance, you do not need to submit any paperwork for work-study programs or loans that have to be paid back (unless those loans are in default).
The individual who is filing a PSOB Benefits Application on behalf of an Applicant.
Survivors and other individuals eligible to receive a one-time death benefit.
The first stage of filing for benefits with the PSOB Office.
An "Application" becomes a “Claim" when the PSOB Office determines that the minimum required documents have been submitted.
Concerns of Police Survivors (C.O.P.S.)
Provides peer support and counseling services, as well as assistance when filing your benefits application or claim. For more information, visit the C.O.P.S website.
Consent to Release
Form needed to release an Applicant's PSOB information to national stakeholder groups and other individuals outside the agency that provide application and claims assistance.
D.C. Retirement and Disability Act of September 1, 1916
Generally, covers certain members of the DC Metropolitan Police or Fire Department who sustained a fatal or catastrophic injury in the line of duty.
Date of Injury (Disability Application)
The date of injury that resulted in the Officer’s permanent and total disability.
Date of Injury (Death Application)
The date of injury that resulted in the Officer’s death.
The date that the document was requested by the PSOB Office.
The date and time that a user uploaded a document into the online application.
Benefits provided to eligible survivors of Public Safety Officers whose deaths are the direct and proximate result of an injury sustained in the line of duty.
The approval or denial of a claim.
Benefits provided to Public Safety Officers whose permanent and total disability is the direct and proximate result of an injury sustained in the line of duty, leaving the Officer unable to engage in any gainful employment.
Documents that are required based on your responses to the online application questions.
The agency the Public Safety Officer was serving at the time of the fatal or catastrophic injury.
Federal Employees’ Compensation Act
Section 8191 provides payments to local and State law enforcement officers (not Federal employees) who are performing certain actions on behalf of the United States such as assisting federal officials in the apprehension of persons committing federal crimes.
Filing Timeframe Notice
Appeal requests must be received by the PSOB Office within 33 days of the date on the notification letter. If filing beyond 33 days, visit <URL of filing extension info page> to learn more.
Final Review Form
This is the last opportunity to review your application before submitting.
Functional Capacity Evaluation
An evaluation that measures an individual’s physical capability.
Generally, this occurs when an Officer’s performance of duty is an extraordinary departure from the appropriate degree of care that would be expected of a similarly situated Officer and occurs in the face of significant hazards or where serious injury or damage is likely to follow.
Generally, this occurs when an Officer knowingly commits a violation of a law, rule, policy, or usual agency practice and such violation is done without reasonable excuse and is objectively unjustified.
Life Insurance Beneficiary on File with the Agency
The individual who, at the time of the Officer’s death, was named in the Officer's life insurance policy, according to the designation on file with the agency at the time of the Officer’s death.
A decision by a medical or retirement board or other public agency that an Officer is medically retired due to their line of duty injury.
Minimum Required Documents
The documents an Applicant must provide for their application to be accepted as a claim.
The child of a Public Safety Officer who at the time of the Officer’s fatal or catastrophic injury was 18 years of age or under, or was a full-time student 22 years or under.
Missing Document Justification
This field allows you to explain why you cannot provide a specific document.
National Fallen Firefighters Foundation (NFFF)
Provides peer support and counseling services, as well as assistance when filing your benefits application or claim. For more information, visit the NFFF website.
Non-civilian (military capacity)
An individual serving in a military capacity at the time of the fatal or catastrophic injury.
On-duty refers to an Officer who is working a regularly scheduled or overtime shift, or performing a public safety activity at the time of the fatal or catastrophic injury.
A relationship between a Public Safety Officer and a child, in which the Officer has the role of parent.
PSOB Designee on File with the Agency
The individual who, at the time of the Officer’s death, was to receive PSOB benefits according to the designation on file with the agency at the time of the Officer’s death.
Public Safety Agency
Generally, a local, State, Federal, tribal government department or agency, volunteer fire department, nonprofit rescue squad, or ambulance crew.
September 11th Victim Compensation Fund
Provides benefits for first responders who died or who were disabled as a result of the September 11, 2001 terrorist attacks.
State Line of Duty Death Benefit
Provides State-funded disability and death benefits for State and local Public Safety Officers – or their beneficiaries – who suffered a fatal or catastrophic injury in the line of duty.
Every PSOB case is unique, meaning additional evidence may be needed beyond the minimum required documents. While these documents vary for each application/claim, they are still mandatory.
Generally, local, State or Federal benefits paid to individuals who are killed or disabled in the course of employment.