Supplemental application for benefits. An applicant for benefits under ORS 243.956 (5) to (10) shall file a supplemental application under oath on a form furnished by the Public Safety Memorial Fund Board. The supplemental application must include

ORS 243.959 — under Chapter 243.

ORS 243.959

(1) The amount of benefits, payments or awards, if any, payable from any source, that the applicant has received or for which the applicant is eligible as a result of the qualifying death or disability of a public safety officer; and

(2) Any other information that the board determines is necessary. [2003 c.295 §10]

Note: See note under 243.950.