FireFighter
Resource Page
Eternal Flames Foundation strives to serve as a valuable resource and support system for firefighters and their families navigating the challenges of occupational cancer or illness.
DO NOT DO THIS ALONE! WE ARE HERE FOR YOU!
Have you been diagnosed with Cancer, Heart Disease, Covid or any other occupational illness or disease?
Taking prompt action can help you access the benefits you deserve and need during this challenging time. As a firefighter, you may qualify for Workers’ Compensation and State benefits. Please take the next steps in securing your and your families financial well-being and to be considered for benefits.
- You are REQUIRED to complete the following paperwork WITHIN 30-DAYS from the date of injury, illness or diagnosis.
- We strongly recommend contacting your association representative or departmental supervisor immediately upon injury or diagnosis. They can provide you with guidance and support throughout the process and ensure all required paperwork is submitted promptly and accurately.
For firefighter support, contact:
David Lindsey at 214-536-9053, or
Robert Webb at 817-999-0573.
For Family Members Support:
Michelle Dalton at 817-368-6584 or an Eternal Flames Board Member will assist you.
STEP 1: FILE DWC-01 FORM WITHIN 30-DAYS
EMPLOYERS FIRST REPORT OF INJURY OR ILLNESS FORM
- Complete this form WITHIN 30-DAYS of injury or illness diagnosis along with Form DWC-041 and submit these two forms to your employer.
STEP 2: FILE DWC-041 FORM WITHIN 1 YEAR
Employee’s Claim for Compensation for a Work-Related Injury or Occupational Disease (DWC Form-041).
- This form WILL BE MAILED TO YOUR HOME after your DWC-01 FORM is received by the Department.
- DO NOT complete this form on your own. Please contact one of our firefighter support officers listed above or your HR representative for assistance.
- DWC FORM-041 MUST BE FILED WITHIN 1-YEAR of date of injury or illness diagnosis and submitted to the Division of Workers’ Compensation.
We strongly recommend filing this form immediately to ensure you receive Workers’ Compensation benefits without any delays or complications. This step is crucial to safeguard your rights and benefits as an injured employee.
