Code of Arkansas Rules Title 26 — Taxation

26 CAR § 351-109

Application for relief

Official textcodeofarrules.arkansas.gov20 subsections

The Secretary of the Department of Public Safety or their designee may include the following on an application for relief:

# (1)

Any and all records sufficient to document need as described in 26 CAR § 351-108(a), including any documentation or other factors that establish the family’s hardship;

# (2)

Current paystubs, tax returns, or W-2 forms as proof of the salary of the officer;

# (3)

Certification from the officer’s employer that he or she was an active employee in good standing with the agency at the time of his or her death or diagnosis;

# (4)

If the applicant is not a terminally ill law enforcement officer, proof of the relationship between the applicant seeking relief and the deceased or terminally ill law enforcement officer;

# (5)

If the applicant is a terminally ill law enforcement officer, medical records reflecting the:

# (A)

Diagnosis;

# (B)

Prognosis, including the likelihood of recovery or survival; and

# (C)

Symptoms that impact their daily life;

# (6)

Records reflecting other forms of income or assets available to the family, including, but not limited to:

# (A)

Real property;

# (B)

Whether the officer or any family/household member is the beneficiary to a trust;

# (C)

Investment income;

# (D)

Pensions;

# (E)

Annuity payments;

# (F)

Child support;

# (G)

Income earned by other family members;

# (H)

Long-term care insurance benefits; or

# (I)

Life insurance benefits; and

# (7)

Any other information or records the secretary determines might be necessary to establish the need of the officer or their family for a grant to be issued under this program.

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