Get Line Of Duty Death Information Form

Filling out the Line Of Duty Death Information Form accurately is essential in ensuring that your wishes are clearly communicated to your family and the U.S. Fish and Wildlife Service. This guide provides step-by-step instructions to help you navigate the form with confidence.

Follow the steps to complete the form online:

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Begin with the agent/officer information section. Fill in your full name, address, city, state, and zip code. Provide your home, work, and cell phone numbers.
3. Next, move to the family information section. Input your partner's name, their address and telephone if it differs from yours, and their employer and work address along with the respective city, state, and zip code.
4. List the names and dates of birth of your children. Ensure you include each child's name with their corresponding date of birth.
5. If applicable, enter information regarding your ex-partner including their name, address, city, state, zip code, and contact numbers.
6. Indicate if you would like a Fish and Wildlife Service representative to reach out to your ex-partner by selecting 'yes' or 'no'.
7. Provide details about close relatives and children living outside the family home, including their names, addresses, relationship to you, and contact information.
8. In the notifications section, list individuals you wish to be contacted in the event of serious injury or death. Include their names, addresses, phone numbers, and relationships.
9. State whether you prefer someone to accompany the notifying official and provide their contact information if different from a Fish and Wildlife Service agent.
10. Identify individuals you would like contacted to assist your family or help with funeral arrangements.
11. Fill in any additional information regarding funeral preferences, such as desired funeral home, church or synagogue, and cemetery.
12. Indicate if you are a veteran of the U.S. Armed Services and express preferences regarding military or law enforcement funerals.
13. List memberships in organizations that may be beneficial to your family, and answer questions regarding the existence of a living will and a will.
14. Note any insurance policies you hold, including the company, policy number, and location of the policy.
15. Finally, provide any special requests or additional information that may be helpful to your family. Sign and date the form.

Complete your Line Of Duty Death Information Form online today to ensure your wishes are clearly documented.