Fillable First Responder Line-of-Duty Death Certification This is to (Alabama Office of the Attorney General)

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First Responder Line-of-Duty Death Certification This is to (Alabama Office of the Attorney General)

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First Responder Line-of-Duty Death Certification
This is to certify that the first responder whose information is
listed below sacrificially gave the people of Alabama the last and
full measure of their service:
Name:
Date of Death:
County:
Department:
Circumstances of Death:
Upon receipt of this information, this office will take every
step available to expedite consideration of this claim and payment
of any death benefit due as a gesture of gratitude to those who
have shared this first responder with Alabama.
God rest their soul.
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First Responder Line-of-Duty Death Certification This is to (Alabama Office of the Attorney General)

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Completed 20 July 2020

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