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.