Fire Services Benefits

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

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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
• Populate the ESF-4 and State Fire Marshal email distribution lists for fire service communications

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:
   
   
   
   

   On the "LOGIN" screen, select "REGISTER"
   On the "REGISTER" screen, fill in all the information requested

2. Upon submission, an LAFD Online Registry Admin Affidavit Form is automatically sent to the email address entered on the Registration page. This form must be completed and returned within 60 days of the request submittal.
   Forward this completed 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: [email protected]
   

   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.

3. The Fire Marshal's office will review the registration request. Notification of the designated person's approval will be sent by email.
   
   
4. The designated person is now ready to enter and maintain their department's information.

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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/death to be eligible for benefits.

Volunteer Fireman Insurance Description

For information on Volunteer Fireman's Insurance, please contact Chief Deputy Felicia Cooper of DPS at (225) 925-4911.

Upon injury of a volunteer member:

1. Seek medical attention first.
2. Complete the appropriate form(s). Please note, in some cases both forms should be completed.
• LWCC Employer's Report of Injury Form - Injured person is a current volunteer fire fighter as evident by the membership list of the organization.
• Hartford Disability Claim Form - Injured person is a Class 1 member of the fire department possibly in need of disability (loss time at work), rehabilitative or heart or circulatory malfunction benefits.
• Hartford Medical Benefits Claim Form-Jr. Fire Fighters - Injured person is a Class 2 member of the fire department. Complete the appropriate form(s). Please note, in some cases, both forms should be completed.
  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. Send the completed form to the carrier:
   
   LWCC Employer's Report of Injury Form:
   
   LWCC
   RE: Policy # 134893
   800-267-2410 Claims Follow-up
   Email: [email protected]
   
   Hartford Disability Claim Form -or-
   Hartford Medical Benefits Claim Form-Jr. Firefighters
   
   P.O. Box 189, Bridgton, ME 04009
   Phone: 1-888-998-2240
   
   
4. 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
      Claims Intake
      P.O. Box 98054, Baton Rouge, LA 70898
      
      

In the event of a volunteer firefighter death:

1. Complete the Hartford Accidental Death-Dismemberment Claim Form
2. If the death is NOT related to heart, lung, or circulatory issues, also complete the LWCC Employer's Report of Injury Form
3. Send the completed form to the carrier:
   
   Hartford Accidental Death Claim Form:
   
   P.O. Box 189, Bridgton, ME 04009
   Phone: 1-888-998-2240
   
   LWCC Employer's Report of Injury Form:
   
   LWCC
   RE: Policy # 134893
   800-267-2410 Claims Follow-up
   Email: [email protected]
   
   Save the original completed document.
   
   
4. Alert the Office of State Fire Marshal by contacting Chief Deputy Felicia Cooper at (225) 925-4911 and sending a copy of the claim for to [email protected].
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
      Claims Intake
      P.O. Box 98054, Baton Rouge, LA 70898
      
      

Please do not send patient discharge paperwork, medical bills, etc to Chief Deputy Felicia Cooper 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.

LWCC Employer's Report of Injury Form

Hartford Disability Claim Form

Hartford Medical Benefits Form - Jr. Firefighters

Hartford Accidental Death - Dismemberment Claim Form

Fire Chief Affidavit

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

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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

Office of State Fire Marshal
Lt. Lorre Claiborne
(225) 925-4836

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Louisiana State Firemen's Association Benefits

https://www.lsfa.net/index.php/insurance-benefits

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

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Bureau Justice Assistance (BJA) Public Safety Officer's Benefits Programs

https://psob.bja.ojp.gov/

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.

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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.

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ESA Youth Scholarship Program

https://esaweb.org/programs/youth-scholarship/

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.

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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