<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 12.11.06.06" title_num="12" subtitle_num="11" chapter_num="06" heading="Applying for Death Benefit.">
  <paragraph num="A.">
    <text>Except for provisions under §B of this regulation, an individual applying for the death benefit under this chapter shall apply to the Executive Director in writing on forms approved by the Executive Director and provide the Executive Director with:</text>
    <paragraph num="(1)">
      <text>If the survivor is the spouse of a decedent eligible for the death benefit:</text>
      <paragraph num="(a)">
        <text>A copy of the decedent’s death certificate;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A copy of the decedent’s and survivor’s marriage certificate;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A copy of the report documenting the circumstances of the decedent’s death;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>An official written statement from the agency employing the decedent that the decedent died in the performance of duty;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>If applicable, a copy of the autopsy report; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>The name, address, and Social Security number of the survivor eligible to receive the death benefit payment;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If the surviving child or a legal guardian or authorized representative for the surviving child is applying:</text>
      <paragraph num="(a)">
        <text>The items under §A(1)(a) and (c)—(e) of this regulation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A copy of the birth certificate of the surviving child;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>If the surviving child is mentally or physically incapable of personal support or a legal guardian or authorized representative for the child is applying:</text>
      <paragraph num="(a)">
        <text>Those items under §A(2)(a) and (b) of this regulation; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A statement from a physician concerning the disability of the surviving child; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>If the surviving dependent parent is applying:</text>
      <paragraph num="(a)">
        <text>The items under §A(1)(a) and (c)—(f) of this regulation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A copy of the birth certificate of the decedent; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A copy of the decedent's most recent federal or State income tax return showing dependency of the parent.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Except for provisions under §A of this regulation, an individual or agency applying for a death benefit for a Maryland individual serving in the Afghanistan or Iraq conflict under this chapter shall provide:</text>
    <paragraph num="(1)">
      <text>The appropriate information required under §A(1), A(2), A(3), or A(4) of this regulation; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An official report from the U. S. military verifying the decedent died while in the performance of duties:</text>
      <paragraph num="(a)">
        <text>During the Afghanistan or Iraq conflict while on active U. S. military service in Afghanistan or Iraq; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>From an injury sustained while on active U. S. military service in Afghanistan or Iraq during the Afghanistan or Iraq conflict.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Additional documentation or information may be required because of unusual or exceptional circumstances.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The information in §§A and B of this regulation shall be sent to the Department of Public Safety and Correctional Services, Human Resources Services Division.</text>
  </paragraph>
  <paragraph num="E.">
    <text>An application for the death benefit under this regulation shall be submitted to the Executive Director within 3 years of the death of the decedent’s death.</text>
  </paragraph>
</regulation>