Board Of Police Officer's Relief
Important
We are no longer requiring the Annual Renewal Affidavit to be notarized. An updated form has been added to the website for your convenience. Completed forms can be mailed to the Department (Attn: Police and Fire Relief) or emailed to dlt.policefire@dlt.ri.gov.
The Rhode Island Police Officer's Relief Fund provides financial and educational support to families of police officers who have died or become permanently disabled due to duty-related incidents. Eligible beneficiaries may receive annuities, lump-sum payments, or tuition benefits at Rhode Island public colleges for up to four years.
The Board of Police Officer's Relief manages the fund under the RI Department of Labor & Training, per RI General Law Section 45-19-2.
To apply, complete the required forms below. Some may require notarization. Use the checklist to ensure all necessary documents are included, as incomplete applications will not be processed.
Mail all forms to:
Relief of Injured and Deceased Police and Firefighters
Rhode Island Department of Labor and Training
1511 Pontiac Avenue, Building 73-2
Cranston, RI 02920
Please email questions to DLT.PoliceFire@dlt.ri.gov.
Annuity Forms
- One Time Death Benefit Application
- Petition for Widow Benefits
- Affidavit (Annual)
- Direct Deposit Authorization
- W-9 Payer's Request for Taxpayer Identification Number and Certification
- Change of Address Form
- Death of Widow or Dependent Form
Checklist of items to include with your application for benefits
- Death Certificate (if applicable)
- Letter from Police Department stating dates of service
- Copies of Birth Certificates for Dependent Children (if applicable)
- Form W-9
- Direct Deposit Application
Tuition Reimbursement
Forms
- Eligibility Application for Tuition Benefits
- Tuition Request Affidavit - Deceased
(include Death Certificate) - Tuition Request Affidavit - Disabled
- Statement of Officer
Forms must be completed by the following dates
- Fall Semester: June 30
- Winter Session: September 30
- Spring Semester: October 30
- Summer Session I: March 31
- Summer Session II: April 30
First time applicants must also include:
- A copy of their Birth Certificate
- A Letter from the Police Department stating dates of service of their parent