Minnesota Administrative Rules

7522.0400 APPLICATION REQUIREMENTS.

Subpart 1.

Application form.

An applicant requesting reimbursement must apply on a form available on the department's website.

Subp. 2.

Public safety officer applications.

A public safety officer requesting reimbursement must provide the following:

A.

the officer's contact information;

B.

the employer's name;

C.

for a peace officer, the officer's license number issued by the Peace Officer Standards and Training Board;

D.

for a qualified emergency medical service provider, proof of certification under Minnesota Statutes, section 144E.28, and proof of employment by a Minnesota-licensed ambulance service;

E.

for a firefighter, proof of active status as a volunteer, paid on-call, part-time, or career firefighter and the agency's fire department identification number;

F.

an invoice and proof of purchase according to subpart 5; and

G.

any other information requested by the commissioner as needed to determine eligibility or to provide reimbursement under this chapter.

Subp. 3.

Agency applications.

An agency requesting reimbursement for an employee must provide the following:

A.

the agency's name;

B.

an employer contact name and contact information;

C.

for all reimbursement requests for the agency's employees:

(1)

the employee's first and last name;

(2)

for a peace officer, the officer's license number issued by the Peace Officer Standards and Training Board;

(3)

for a qualified emergency medical service provider, proof of certification under Minnesota Statutes, section 144E.28, and proof of employment by a Minnesota-licensed ambulance service;

(4)

for a firefighter, proof of active status as a volunteer, paid on-call, part-time, or career firefighter and the agency's fire department identification number; and

(5)

an invoice and proof of purchase according to subpart 5; and

D.

any other information requested by the commissioner as needed to determine eligibility or to provide reimbursement under this chapter.

Subp. 4.

Unavailable information.

If an applicant cannot provide the information required under this part, they must explain on the application why they cannot provide the information.

Subp. 5.

Invoice and proof of purchase required.

A.

With the application, an applicant must provide:

(1)

an invoice for each purchased vest that legibly displays:

(a)

the itemized cost of all items for which reimbursement is being requested; and

(b)

the purchase date of the items for which reimbursement is being requested; and

(2)

proof of purchase of the items for which reimbursement is being requested.

B.

A packing slip does not constitute proof of purchase.

Subp. 6.

Signature required.

An applicant must sign the application by hand or electronically.

Statutory Authority:

MS s 299A.38; L 2023 c 52 art 5 s 77

History:

49 SR 496

Published Electronically:

December 5, 2024