Psob beneficiary form 2025

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The document is a Designation of Beneficiaries Form for the U.S. Department of Justice Public Safety Officers' Benefits (PSOB) Program, outlining how benefits are distributed to survivors upon an officer's death. It specifies the criteria for benefit allocation among spouses, children, and designated beneficiaries, and includes a section for officers to declare their chosen beneficiaries.
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Program Description. When a qualified person dies, a spouse may get a one-time Social Security death payment of $255. If there is no spouse, some children may qualify.
Forms for Designations We recommend that you designate beneficiaries to receive your life insurance benefits. However, if you are happy with the order of precedence(PDF file), you dont have to do anything.
PSOB provides a one-time benefit to eligible public safety officers who were permanently and totally disabled as a result of a catastrophic injury sustained in the line of duty on or after November 29, 1990. Injuries must permanently prevent officers from performing any gainful work in the future.
This form is for use in declaring a beneficiary for any PSOB benefits that your survivors may be eligible for in the event of your death.
Submit the designation form to: Office of Personnel Management, Retirement Operations Center, P.O. Box 45, Boyers, PA 16017-0045.

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Contact Us. The amount of the PSOB benefit is $448,575.00 for eligible deaths and disabilities occurring on or after October 1, 2024. The amount of the PSOB educational assistance benefit for one month of full-time assistance on or after October 1, 2024 is $1,536.00.

psob fact sheet

Beneficiary-Designation-for-US-Dept-of-Justice-Public-Safety

Refer to EMACS Forms/Procedures website. BENEFICIARY DESIGNATION FOR. US DEPARTMENT OF JUSTICE. PUBLIC SAFETY OFFICERS BENEFITS (PSOB) PROGRAM. Employee ID.

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Public Safety Officers Benefits Program

Summary. The Public Safety Officers Benefits (PSOB) program provides cash benefits to federal, state, and local law enforcement officers; firefighters;

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