Welcome to the IAFF presumptive disability
provisions database for the United States and Canada
A presumptive disability law links a particular occupation with a disease or condition
that has been shown to be a hazard associated with that occupation.
As a result of this linkage, if an individual employed in the occupation covered
by the presumption contracts a disease or condition that is specified in the presumptive
law, then that disease or condition is presumed to have come from that occupation.
In this case, the burden of proof shifts from the employee to the employer to demonstrate
that the condition was not in fact associated with the occupation but with another
For fire fighters and emergency medical responders, scientific evidence has demonstrated
an increased risk for heart disease, lung disease, cancer and infectious diseases.
At this time, most of the United States and Canadian provinces have some form of
presumptive law that applies to fire fighters and emergency response personnel.
These laws vary greatly between states and provinces.
The IAFF Division of Occupational Health, Safety & Medicine has developed an
information database of the current presumptive disability provisions in the United
States and Canada.