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Fire Service Benefits

Use this page to learn more about benefits offered for firefighters and their families.


Page Menu: - The Louisiana Fire Department Online Registry
- Louisiana Volunteer Fire Service Medical, Workmen’s Comp, Death and Disability
- Louisiana Firemen’s Survivor Benefits
- Louisiana State Firemens’ Association Benefits
- Bureau of Justice Assistance (BJA) Public Safety Officers’ Benefits Programs
- Scholarship for Children of Firefighters Killed or Disabled in Performance of Duty
- ESA Youth Scholarship Program
- Volunteer Fire Fighter Tax Credit

The Louisiana Fire Department Online Registry

This application provides a means for our fire service to manage information about their fire department, including contact information, personnel characteristics, resource inventory and their roster of volunteer fire fighters. Participation in this application helps to build a database which can be used to:

  • Maintain a real-time fire department directory
  • Provide statistics for grant writing and reporting
  • Aid in emergency response efforts
  • Provide necessary documentation for the administration of the Volunteer Fire Fighter Insurance Program

Please perform the following actions to begin managing your fire department information (including your volunteer fire fighter roster) using the LA FD Online Registry.

  1. Choose one person to be the Online Administrator for your department. Have this person go to the following link:

    Fire Department Login Button

    On the "LOGIN" screen, select "REGISTER"
    On the "REGISTER" screen, fill in all of the information requested and press "SUBMIT"

  2. This registration request must be followed up with a completed LAFD Online Registry Admin Affidavit Form (PDF) within 60 days of the request submittal. Forward this form to the OSFM via fax, regular mail or scan and email:

    Louisiana Office of State Fire Marshal
    8181 Independence Blvd.
    Baton Rouge, LA 70806
    Attention: LAFD Online Registry
    Fax: 225-925-4241
    Email: LAVFD_OnlineRoster_Admin@dps.la.gov
  3. This letter must be received within 60 days of the online registration request or the request will be denied and the online request must be resubmitted.


  4. The Fire Marshal's office will review the registration request. Notification of the designated person's approval will be sent by email.

  5. The designated person is now ready to enter and maintain their department's information.

Please note that Fire Department Online Administrators have access to ONLY those fire departments to which they have been designated the online administrator.



Louisiana Volunteer Fire Service Medical, Workmen's Comp, Death and Disability

Facilitated by the Louisiana Office of State Fire Marshal (R.S. 23:1036)

NOTE: Per LA RS 23:1036.C.(3). Any member who is not carried on the membership list of the organization as of the date of the member's injury shall not be entitled to the benefits of this Section

LWCC and Hartford claim forms must be submitted within 30 days of injury/accidental death to be eligible for benefits.

Volunteer Firemen Insurance Description

For information on Volunteer Fireman's Insurance, please contact Candy Diez (Candy.Diez@la.gov) of DPS at (225) 925-7014.

doc Upon injury of a volunteer member:

  1. Seek medical attention first.

  2. Complete the appropriate form:
    LWCC Employer's Report of Injury Form - Injured person is a Class 1 member.

    Hartford Accidental Medical, Disability, Death and Junior Fire Fighter Form Injured person is a Class 2 member or a Class 1 member in need of disability, rehabilitative employment or heart or circulatory malfunction benefits.

    Class 1
    • volunteer members of the Organization;
    • members of the Organizations who may receive a nominal fee as a retainer;
    • paid drivers or employees of the Organization regularly employed as full-time firefighters;
    • deputized bystanders who are not members of the Organization or any other voluntary firefighter organization, but have been deputized by the Fire Chief or other official of the Organization for an emergency.

    Class 2
    • registered Junior Firefighter of the Organization.


  3. Fax the completed form to the carrier:

    LWCC Employer's Report of Injury Form -

    LWCC
    RE: Policy # 134893
    225-231-6536

    Hartford Accident, Medical and Disability Benefits Form -

    John Migliore
    Sabine Insurance Agency Inc.
    318-256-7043 fax
    318-256-7041 office
    888-245-7186 office

    Also fax a copy to Candy Diez of Louisiana DPS 225-925-6510.

    Save the original completed document.

  4. Candy Diez will confirm that the person applying for benefits is carried on a membership list of the organization prior to the date of injury and forward this information to the insurance carrier (LWCC or Hartford) so that a claim number can be assigned.

  5. If claim is with LWCC, have the Fire Chief of the Department fill in the "Fire Chief Affidavit". (If the fire chief is unable to complete the affidavit form, the chief official of your local governing body may do so.)

    1. Have the affidavit notarized.

    2. Mail the original affidavit to:

      LWCC
      P.O. Box 98052
      Baton Rouge, LA 70898

    3. Mail or fax a copy of the affidavit to:

      Louisiana Department of Public Safety
      Administrative Compliance
      PO Box 66614, Interoffice Box B-13
      Baton Rouge, LA 70896
      ATTN: Candy Diez

      Fax (225) 925-6510.

doc In the event of a volunteer fire fighter death:

  1. Contact the State Fire Marshal's office.

  2. Complete the Harford Accidental Death Claim Form.

  3. If the death is NOT related to heart, lung or circulatory issues, also complete the LWCC Employer's Report of Injury Form

  4. Mail or fax the completed form to the carrier:

  5. Hartford Accident, Medical and Disability Benefits Form -

    John Migliore
    Sabine Insurance Agency Inc.
    318-256-7043 fax
    318-256-7041 office
    888-245-7186 office

    LWCC Employer's Report of Injury Form -

    LWCC
    RE: Policy # 134893
    225-231-6536

    Also fax to Candy Diez of Louisiana DPS 225-925-6510.

    Save the original completed document.

  6. If claim is with LWCC, have the Fire Chief of the Department fill in the "Fire Chief Affidavit". (If the fire chief is unable to complete the affidavit form, the chief official of your local governing body may do so.)

    1. Have the affidavit notarized.

    2. Mail the original affidavit to:

      LWCC
      P.O. Box 98052
      Baton Rouge, LA 70898

    3. Mail a copy of the affidavit to:

      Louisiana Department of Public Safety
      Administrative Compliance
      PO Box 66614, Interoffice Box B-13
      Baton Rouge, LA 70896
      ATTN: Candy Diez

      Or

      Fax a copy to (225) 925-6510.

Please do not send patient discharge paperwork, medical bills, etc to Candy Diez or the Office of State Fire Marshal. A representative of the carrier will contact you. All follow-up paper work is to be forwarded to the carrier.


doc LWCC Employer's Report of Injury Form

doc Hartford Accidental Medical, Disability, Death and Junior Fire Fighter Form

doc Harford Accidental Death Claim Form.

doc Fire Chief Affidavit


There are many additional benefits and services available to the family and fire department of LODD fire service. Please see below



Louisiana Firemen Survivor Benefits

(R.S. 40:1665 and R.S. 33:2581)

Provides for financial compensation to the spouse and dependent children of firemen when firemen suffer death as a result of an injury or fatal illness arising out of and in the course of the performance of their official duties as firemen.


Contact:

LA Enforcement Officers and Firemen’s Survivor Benefits Review Board
LA Department of Justice
Chairman, Richard M. Thompson
1885 N. 3rd Street
Baton Rouge, LA
(225) 326-6100



Louisiana State Firemens’ Association Benefits

http://lsfa.net/general-information/benefits.html

Active members of the LSFA enjoy a variety of benefits including legislative representation, scholarship programs and insurance.



Bureau of Justice Assistance (BJA) Public Safety Officers’ Benefits Programs

https://www.psob.gov/index.html

Death and disability benefits and higher education support to eligible spouses and children of public safety offices who died in the line of duty or were permanently and totally disabled as a result of an injury sustained in the line of duty.



Scholarship for Children and Spouses of Firefighters Killed or Disabled in Performance oF Duty

(R.S. 17:1682.1 and R.S. 17:1682.2)

Financial assistance towards college to the children or spouse of a firefighter disabled or killed in the line of duty. Contact Admissions or the Registrar’s office of the university you are attending for assistance with this scholarship.



ESA Youth Scholarship Program

http://www.esaweb.org/?page=youthscholarship

Created to promote goodwill among the electronic life safety and security industry and police and fire service, this program provides college scholarship awards to their deserving sons or daughters.



State Income Tax Exclusion for Volunteer Firefighters

R.S. 47:293(9)(a)(xii) provides an exclusion per tax year for individuals who serve as volunteer firefighters. For details and qualifications see LA Tax Form IT-540 Schedule E instructions

This form may be used to provide documentation needed to fulfill requirements for this exclusion.

doc Volunteer Firefighter Deduction Certification Form



This page was last modified on July 13, 2016