Home Claims Instructions for Filing Death Benefit Claims

Instructions for Filing Death Benefit Claims

 

INSTRUCTIONS: ALABAMA DEATH BENEFIT CLAIMS EXAMPLES OF SUPPORTING DOCUMENTATION

 

 

This article discusses an information document outlining acceptable supporting documentation for support claims due to the death of an Alabama peace officer or fireman. This document can be obtained from the website maintained by the Alabama State Board of Adjustment.

 

Alabama Death Benefit Claims Examples Of Supporting Documentation Step 1: The first listed acceptable supporting document is a death certificate for the deceased Alabama peace officer or fireman.

 

Alabama Death Benefit Claims Examples Of Supporting Documentation Step 2: The second listed acceptable supporting document is an accident or incident report, if applicable.

 

Alabama Death Benefit Claims Examples Of Supporting Documentation Step 3: The third listed acceptable support document is an affidavit from the head of the employing agency or department which must answer several questions about the death of the peace officer or fireman. The first question which must be addressed in this affidavit is if the peace officer or fireman was engaged in the performance of their duties when killed or receiving injuries contributing to their death.

 

Alabama Death Benefit Claims Examples Of Supporting Documentation Step 4: The second question to be answered in this affidavit is if the peace officer or fireman was engaged in willful misconduct.

 

Alabama Death Benefit Claims Examples Of Supporting Documentation Step 5: The third question to be answered is if the peace officer or fireman was intoxicated by alcohol or drugs at the time of death and whether tests were conducted with regard to alcohol or drugs.

 

Alabama Death Benefit Claims Examples Of Supporting Documentation Step 6: The fourth question to be answered is if the peace officer or fireman failed to use safety appliances supplied by their employer.

 

Alabama Death Benefit Claims Examples Of Supporting Documentation Step 7: The fifth question to be answered is if the peace officer or fireman refused or neglected to perform a statutory duty.

 

Alabama Death Benefit Claims Examples Of Supporting Documentation Step 8: The sixth question to be answered is if the peace officer or fireman violated a law or willfully breached a reasonable rule or regulation governing the performance of their duties or employment.

 

Alabama Death Benefit Claims Examples Of Supporting Documentation Step 9: The rest of the form identifies documents acceptable for identifying surviving dependents. 

 

Download the PDF file .

Comments

comments