A PSEBA benefit application form prepared by the village shall be the standard form required for PSEBA benefit applicants (hereafter the "applicant") to utilize to request benefits under PSEBA. The form shall be completed and executed by the requesting applicant and delivered to the village manager. The applicant shall provide, along with the application, any medical records regarding the injury, any decision by a governing public safety pension board and supporting documentation related to such pension board decision, any decision by the Illinois workers' compensation commission, and any additional pertinent documentation that the applicant wants to have considered or that is requested by the village. (Ord. 2016-4676, 9-12-2016)