The purpose of the Line of Duty Death Benefit is to provide a financial benefit to the family of a member that dies in the line of duty, up to $2,500.

Line of duty deaths include any death attributable to, and resulting from, the performance of official duties in the following circumstances:

  • Death resulting from a fatal injury while actively engaged in their duties as a health-care professional.
  • Death resulting from an occupational illness primarily resulting from exposure/contact due to employment.
  • Death resulting from, or reasonable attributed to, psychological impairment, specifically suicide.

Those who can apply for this benefit include next of kin or family members of the member, the Local Unit, or any HSAA member on behalf of the deceased.

Applications shall be submitted within 6 months of the date of death.

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Member Information

Name of Deceased:

Home Address:

Member Next of Kin

(for contact purposes)
Address: