Form CC92 Application for Death Benefits Pursuant to Line of Duty Compensation Act - Illinois

Form CC92 Application for Death Benefits Pursuant to Line of Duty Compensation Act - Illinois

What Is Form CC92?

This is a legal form that was released by the Illinois Secretary of State - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CC92?
A: Form CC92 is the application for death benefits under the Line of Duty Compensation Act in Illinois.

Q: What is the Line of Duty Compensation Act?
A: The Line of Duty Compensation Act in Illinois provides benefits to the surviving family members of certain public safety officers killed in the line of duty.

Q: Who is eligible to apply for death benefits under the Line of Duty Compensation Act?
A: The surviving spouse, child, or parent of a public safety officer killed in the line of duty may be eligible to apply for death benefits.

Q: What documents do I need to submit with Form CC92?
A: You will need to submit a certified copy of the public safety officer's death certificate and any other supporting documentation requested on the form.

Q: What is the deadline for submitting Form CC92?
A: There is no specific deadline for submitting Form CC92, but it should be filed as soon as possible after the death of the public safety officer.

Q: What benefits are available under the Line of Duty Compensation Act?
A: Benefits under the Line of Duty Compensation Act may include a death benefit, a monthly pension, and payment of educational expenses for the surviving spouse and children.

Q: Are the benefits taxable?
A: No, the benefits received under the Line of Duty Compensation Act are exempt from state and federal income tax.

Q: Is there a fee to apply for death benefits?
A: No, there is no fee to apply for death benefits under the Line of Duty Compensation Act.

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Form Details:

  • Released on December 1, 2016;
  • The latest edition provided by the Illinois Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CC92 by clicking the link below or browse more documents and templates provided by the Illinois Secretary of State.

Download Form CC92 Application for Death Benefits Pursuant to Line of Duty Compensation Act - Illinois

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