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

1. (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. (2) Current paystubs, tax returns, or W-2 forms as proof of the salary of the officer;
3. (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. (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. (5) If the applicant is a terminally ill law enforcement officer, medical records reflecting the:

   1. (A) Diagnosis;
   2. (B) Prognosis, including the likelihood of recovery or survival; and
   3. (C) Symptoms that impact their daily life;

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

   1. (A) Real property;
   2. (B) Whether the officer or any family/household member is the beneficiary to a trust;
   3. (C) Investment income;
   4. (D) Pensions;
   5. (E) Annuity payments;
   6. (F) Child support;
   7. (G) Income earned by other family members;
   8. (H) Long-term care insurance benefits; or
   9. (I) Life insurance benefits; and
7. (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.