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777 Chestnut Ridge Road
Suite 302
Chestnut Ridge, NY 10977
Phone: 1-888-314-3004
Fax: 845-352-2022

Public Safety Officer's Benifit Act

In addition to the state benefit under the Volunteer Firefighters Benefit Law, the federal government now provides a death benefit in the amount of $303,064 (annually adjusted every October for Consumer Price Index) to the surviving dependents of paid and volunteer firefighters, as well as law enforcement officers, who die from an injury sustained while in the performance of their duties.   

These federal benefits come within the scope of the Public Safety Officer's Benefit Act - 1976 administered by the Law Enforcement Assistance Administration.    

Application for benefits for any paid or volunteer firefighter who died in the line of  duty on or after September 19, 1976 should be sent to:  

Public Safety Officer's Benefits Program
Law Enforcement Assistance Administration
633 Indiana Avenue N.W.
Washington D.C. 20531
(202) 307 - 0635

   

Please Note:  If a volunteer firefighter from another fire district volunteers his or her services during an emergency and such services (other than mutual aid) are accepted by the officer in charge, then such firefighter, if he/she is injured in the line of duty, is covered under your district's Volunteer Firefighters Benefit Law policy.

Volunteer firefighters of the municipalities or assureds responding under mutual aid covered under their own jurisdiction and are not the responsibility of the department requesting mutual aid.

If a non-reportable accident later develops into one which requires medical treatment or causes loss of time from employment, then the VF-2 form should be filed immediately. A copy of your internal report (VF-1) should also be sent to us, FDM. VF-1 forms should not be sent to the Worker's Compensation Board.   

If a fire district learns of any new developments regarding a case after the VF-2 has been filed, please notify the Fire District of New York Mutual Insurance Company, Inc. (FDM)

If you are doubtful as to whether the case falls under the provisions of the Volunteer Firefighters' Benefit Law or if you are suspicious as to the validity of the claim, immediately notify FDM in writing.