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Public Safety Officers' Benefits Death Benefits Program: Required Documents - Filing a PSOB Death Claim

NCJ Number
Date Published
3 pages
This guide for filing a death claim under the federal Public Safety Officers' Benefits (PSOB) Program explains the documentation required for the officer's surviving family and agency documentation regarding the officer's line-of-duty death.
For officers with surviving children, a sample "Children At-A-Glance" chart is provided to be included with the application for PSOB benefits. The Death Benefits Application Part A must be completed and electronically signed by the survivor(s) or authorized representative. Part A must also include divorce decrees for all the officer's and current spouse's previous marriages, including references to physical custody of any children, if applicable. Other documents required for Part A of the application are an officer's current marriage certificate, if applicable, and death certificates for all the officer's and current spouse's previous marriages, if any of the marriages ended in death, if applicable. Part B of the application specifies the documents that must be submitted from the officer's agency regarding his/her line-of-duty death. Part B of the Death Benefits Application must be completed and electronically signed by the agency head or designee. The documentation required for Part B is listed in this guide. Because every PSOB case is unique, additional information may be requested to clarify or establish the eligibility of claims and beneficiaries according to the PSOB Act and its regulations. The application is to be filed online at www.psob.gov.