The Foundation encourages you to declare a beneficiary for any PSOB benefits that your survivors may be eligible for in the event of your death.
Download & Apply Your Department Letterhead
We encourage departments to put this form on their letterhead and distribute to their firefighters for completion and filing with your department. Firefighters may also want to keep a copy for your own personal records.
Why should I complete and file a PSOB Beneficiary form with my department?
If there are no spouse or children, then the individual(s) designated by the firefighter on the PSOB beneficiary form on file with the firefighter’s agency will receive benefits if the claim is approved. If there is no designation, then the individual designated as the beneficiary on the most recently executed life insurance policy on file with the firefighter’s agency will receive benefits if the claim is approved.
Public Safety Officers’ Benefits
A unique effort of the U.S. Department of Justice; local, state, tribal, and federal public safety agencies; and national organizations, the Public Safety Officers’ Benefits (PSOB) Programs provide death and education benefits to survivors of fallen firefighters, law enforcement officers, and other first responders, and disability benefits to officers catastrophically injured in the line of duty. The PSOB Office at the Bureau of Justice Assistance is honored to review the nearly 700 claims submitted each year on behalf of America’s fallen and catastrophically disabled public safety heroes and their loved ones. Visit www.psob.gov for details regarding PSOB’s death, disability, and educational assistance programs.