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Get AL Certificate of Eligibility for Distinctive Firefighter License Plates for Widows/Wiodwers

_____________________ is a widow or widower of a member of the __________________ Fire Department and is eligible to purchase a distinctive plate as described in said Act. I further certify that the deceased spouse of the above-named individual was killed in the line of duty under circumstances in which a municipal firefighter’s death would result in a death benefit under Alabama Code Section 11-43-144. Chief’s signature: _______________________________ (Original signature required in blue .

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