Survivor Information and Other Forms

Illinois C.O.P.S. offers financial assistance to attend National Police Week and Hands On Programs.  Please download and submit appropriate form.  If submitting for a child/minor, the parent or legal guardian must sign the acknowledgement below on behalf of the child.

We encourage all our survivors to attend our National C.O.P.S. events and Hands On Programs.  Please visit their website for dates and registration for National Police Week and all the different Hands On Programs.

National Police WeekFirst Year FamiliesNational Police Week First Year Family Travel Reimbursement Form – Eligible Family Members Include: Surviving Spouse, Children, Step-Children, Parents, and Step-Parents, Siblings and their Spouses, and In Laws and their Spouses, Significant Others/Fiances, and Parents of Officer Minor Child/ren that reside in the state of Illinois. Anyone may attend the events at National Police Week and various Memorials.   Others may seek assistance by special request to the Illinois COPS Board.

National Police WeekReturning SurvivorsNational Police Week Returning Survivors Travel Reimbursement Form

Hands of Program – Participation Award

Hands On Program – Travel Assistance Request – Complete if travel exceeds the $150 Hands on Program Participation Award.

Family Contact for National Police Week

When we have new survivors attending National Police Week for the first time we try to have a friendly face there to help along the way.  If you are interested in becoming a NPW Family Contact please email the Chapter President with your interest and you will receive the SOP that list expectations.  You will be asked to complete an Application and the Board will determine the need and best suited Contact person/s each year.


Logo Use Request: Once you receive initial approval you will receive a copy of the logo.  All artwork and design of the finished product should be submitted and approved by the executive board before production of merchandise, flyers, etc.  Logo use is prohibited until approval of all artwork.

Trailer Use Request Complete the form and submit to use Illinois C.O.P.S. Trailer to support Illinois C.O.P.S. and events.


Travel Expense Request for approved Chapter Travel  Form IL 004.01     This form is not for National Events such as Hands On Retreats and National Police Week.  They are listed above.

Chapter Expense Reimbursement Request Form IL 004.02


All completed forms should be sent to:

Concerns of Police Survivors (C.O.P.S.)
Illinois Chapter
PO Box 312
Sherman, IL 62684
or emailed to