RI Department of Labor and Training
  • DLT
  • Labor Market Information
  • Temporary Disability
  • Unemployment Insurance
  • Workers' Compensation
  • Workforce Development
  • Workforce Regulation and Safety
DLT homeEqual OpportunityOnline NewsroomSitemapRules and RegsPublicationsFormsDirectionsContact DLT
LMI HomeData CenterLMI for JobseekersLMI for BusinessLMI PublicationsWagesLicensed OccupationsLMI News ReleasesFAQsContact LMI
TDI homeFile a TDI ClaimElectronic Payment CardQualified Healthcare ProvidersTDI for employersTDI FormsTDI FAQsContact TDI
UI homeFile a UI ClaimAccess AccountTeleserveElectronic Payment CardsUI for EmployersExtended BenefitsUI FAQsContact UI
WC HomeEducationDonley CenterInjured WorkerEmployerInsurer/AdjusterIndependent ContractorFormsFAQ'sContact WC
WFDS HomenetWORKriBusiness ServicesGovernor's Workforce BoardWorkforce Investment OfficeTradeYouthVeteransContact WFDS
WRS HomeProfessional RegulationApprenticeshipPrevailing WageLabor StandardsOccupational SafetyPublications and FormsContact WRS


File a Claim

Teleserve Online
Jobs and Training
Business Services
Workplace Regulations
Data and Analysis
Benefits
Online Services
Publications and Forms

Boards and Partners
Contact Information



Board of Police Officer Relief

ATTENTION: Beneficiaries of the Boards of Police Officer and Fire Fighters Relief:
A computer error has caused incorrect 1099-R tax forms to be mailed to some customers of the Police Officers and Fire Fighters Relief programs. We regret this error and any resulting confusion or inconvenience. Although your 1099 might be wrong, please hold onto it. The State will be sending a letter offering guidance and instructions shortly.

If you have any questions, please email us at DLT.PoliceFire@dlt.ri.gov or call 462-8855. We will respond as soon as we can. Thank you!

Police saluting

Per RI General Law 45-19-2, within the Department of Labor and Training there is a board of police officer's relief consisting of seven members which administers the fund for the relief of police officers.

Please complete the required forms below. Forms can be filled out online, printed and signed. Some forms must be notorized. Please use checklist to make sure you've included all required documentation. Incomplete forms will

Mail all forms to:
Relief of Injured and Deceased Police and Fire Fighters
Rhode Island Department of Labor and Training
1511 Pontiac Avenue, Building 73-2
Cranston, RI 02920

Please email questions to DLT.PoliceFire@dlt.ri.gov Police Badge

Annuity Forms   Tuiton Reimbursement Forms

> One Time Death Benefit Application

> Petition for Widow Benefits

> Affidavit (Annual)

> Direct Deposit Authorization

> W-9 Payer's Request for Taxpayer Identification Number and Certification

> Change of Address Form

> Death of Widow or Dependent Form

Checklist of items to include with your application for benefits:

  • Death Certificate (if applicable)
  • Letter from Police Department stating dates of service
  • Copies of Birth Certificates for Dependent Children (if applicable)
  • Form W-9
  • Direct Deposit Application

 

Forms must be completed by the following dates:
Fall Seminster: June 30
Winter Session: September 30
Spring Semister: October 30 Summer Session I: March 31
Summer Session II: April 30
> Eligibility Application for Tuition Benefits

> Tuiton Request Affidavit - Deceased

> Tuiton Request Affidavit - Disabled

> Statement of Officer

> Transcript Requests:

First time applicants must also include:

  • A copy of their Birth Certificate
  • A Letter from the Police Department stating dates of service of their parent


* Please attach the transcript confirmation to the application for the final grade for seminster attending and mail to:
Relief of Injured and Deceased Police and Fire Fighters

Rhode Island Department of Labor and Training
1511 Pontiac Avenue, Building 73-2
Cranston, RI 02920

Click here to read RI General Law 45-19-4   Click here to read RI General Law 45-19-4.1
Click here to read the Rules and Regulations for the Board of Policemen's Relief


 
RI Department of Labor and Training
Center General Complex
1511 Pontiac Avenue, Cranston, RI 02920

Phone: (401) 462-8000
Fax (401) 462-8872
TTY via RI Relay: 711
11/16/17 MDF
State Seal
  DLT is an equal opportunity employer/program - auxiliary aids and services available upon request