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How to prepare Form 911
About Form 911
Form 911, also known as the Application for Public Safety Officer's Benefits, is a legal document issued by the United States Department of Justice. It is specifically designed for public safety officers or their survivors to apply for benefits under the Public Safety Officers' Benefits (PSOB) program. The PSOB program provides financial compensation and assistance to eligible public safety officers and their families who have suffered disability or death in the line of duty. Public safety officers include firefighters, law enforcement officers, paramedics, emergency medical technicians (EMTs), federal emergency management agency (FEMA) personnel, and certain other categories. The program aims to recognize the sacrifices made by these individuals in protecting their communities. To apply for benefits under the PSOB program, the eligible public safety officer or their survivors must complete Form 911 and submit it to the PSOB Office within the designated timeframe. The form requires detailed information about the officer's death or disability and their relationship to the applicant. Additionally, supporting documentation such as medical reports, autopsy reports, and employment records may be required to verify the eligibility. The completion and submission of Form 911 is crucial for any public safety officer or their survivors seeking to obtain the benefits provided by the PSOB program. It serves as an official application to initiate the evaluation process and determine the eligibility for compensation or assistance under the program.
What Is Form 911?
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