Welcome to BJA's Public Safety Officers' Benefits (PSOB) Program online application system. The PSOB Office extends its condolences to you on the loss or injury of your colleague or loved one and understands that this is a difficult time. We hope that this new system will impose the least possible burden on you to provide us with information necessary to complete your claim.

The online application forms collect the same information required for the original paper applications; therefore, there is no need to submit an application by both methods. If you choose to submit a hardcopy application in lieu of the online application, you may do so.

Please be assured that your information is submitted via a secure network and will be kept confidential. Social Security numbers will be encrypted and will only be viewable by PSOB Program Office staff responsible for the handling of your claim.

At any time in the process you may save the work completed and come back to it later. Please note that all fields in the application are mandatory, and each must be provided in order for your application to be considered complete. Once you submit your application, you may return to add attachments, but you will not be able to change any of the information in the application.

Because no two PSOB cases are alike, additional information may be requested by the PSOB Office to help clarify or establish the eligibility of claims and beneficiaries according to the PSOB Act and its regulations.

Please click on the link below to begin the application process. If you are a new user, you will be asked to create an account, including a User Name and Password. The User Name and Password will be required each time you log into the system and can be used for multiple claims if necessary.