Chapter 292-3 APPLICATION FOR BENEFITS
| (a) |
An application
for indemnification benefits may be made by:
| 1) |
any emergency medical technician,
firefighter, law enforcement officer, prison guard, and emergency management
rescue specialist who is permanently disabled in the line of duty as specified
in O.C.G.A. 45-9-80et seq. or by |
| 2) |
the administrator or executor of the
estate of any emergency medical technician, firefighter, law enforcement
officer, prison guard, and emergency management rescue specialist who is killed
in the line of duty as specified in O.C.G.A. 45-9-80et seq. or by |
| 3) |
a law enforcement officer or firefighter
injured in the line of duty as specified in O.C.G.A. 45-9-101et seq. |
|
| (b) |
An application for benefits
shall be made on forms provided by the Department of Administrative Services.
Any person who believes that they may be entitled to an indemnification benefit
should request an application from the Department of Administrative
Services. |
| (c) |
In all cases, the
Department of Administrative Services will require a complete copy of the
workers' compensation records of the emergency medical technician, firefighter,
law enforcement officer, prison guard, or emergency management rescue
specialist who is killed or permanently disabled in the line of duty as set
forth in O.C.G.A. 45-9-80et seq. or a complete copy of the workers'
compensation records of the law enforcement officer or firefighter seeking
supplemental temporary disability compensation pursuant to O.C.G.A. 45-9-101et seq. |
| (d) |
In cases involving an
emergency medical technician, a firefighter, a law enforcement officer, a
prison guard, or an emergency management rescue specialist who is killed in the
line of duty, the Department of Administrative Services will always require 1)
a certified copy of the death certificate of the individual and 2) proof that
the person submitting the application is the administrator or executor of the
estate of the individual. |
| (e) |
In
cases involving an emergency medical technician, a firefighter, a law
enforcement officer, a prison guard, or an emergency management rescue
specialist who is permanently disabled in the line of duty, the Department of
Administrative Services will always require 1) proof of permanent disability
and 2) proof that the person submitting the application is the individual who
was permanently disabled in the line of duty. |
| (f) |
In cases involving an emergency medical
technician, a firefighter, a law enforcement officer, a prison guard, or an
emergency management rescue specialist who is permanently disabled in the line
of duty and the permanent disability results in the incapacitation of the
individual, the Department of Administrative Services will always require 1)
proof of disability and 2) proof that the person submitting the application is
authorized to act on behalf of the individual who was permanently disabled in
the line of duty. |
| (g) |
In cases
involving a law enforcement officer or firefighter seeking benefits pursuant to
O.C.G.A. 45-9-101et seq., the Department of Administrative Services will
require a sworn statement that the applicant has disclosed all sources of
compensation described in O.C.G.A. 45-9-103(c)as well as authorization from
the applicant for the Department of Administrative Services to review records
associated with such sources of compensation. |
| (h) |
In all cases, the Department of
Administrative Services may require or obtain additional information if
necessary. |
Any designated beneficiary of any person as defined in Ga. Laws
1978, p. 1914, et seq., as amended, killed in the line of duty or
any officer disabled in the line of duty shall make application on forms
supplied by the Commission. Such application or other suitable notice must be
filed with the Commission as set forth in Rule
292-3-.01 next
preceding.
