Claim for Pension by Spouse or Children - Spanish Reclamo para Pensión de Esposo(a) o Los Niños


Claim for Pension by Spouse or Children - Spanish Reclamo para Pensión de Esposo(a) o Los Niños

Document Information
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Title	Claim for Pension by Spouse or Children - Spanish Reclamo para Pensión de Esposo(a) o Los Niños (155 KB PDF)
Description	Used by surviving spouse or children of a deceased worker to file a claim for benefits.
Detail
Form number	F242-056-999
Availability	Online only
Keywords	claim information, claims, coverage, deceased, deceased worker, disability, disability & pension benefits, disability and pension benefits, disability benefits, disability pension benefits, disabled, espanol, industrial insurance, insurance, occupational death, offset, pension, pension & disability benefits, pension and disability benefits, pension benefits, pension disability benefits, security, social, social security, social security offset, spanish, sso, surviving children, surviving spouse, worker, worker's compensation, workers compensation, workers' compensation
Languages	Spanish , English
Valid dates	08-2009
Contact information
Related information
Documents	Reclamo for Pensión por Dependientes Declaración De Derechos Para Viuda(O) Bajo El Programa De Compensación Y Beneficios Para Trabajadores Declaración De Derechos Para Padres O Tutor Bajo El Programa De Compensación Y Beneficios Para Trabajadores Declaración De Derechos Para Dependiente Del Trabajador Fallecido Bajo El Programa De Compensación Y Beneficios Para Trabajadores Declaración De Derechos Para Trabajador Totalmente Discapacitado Bajo El Programa De Compensación Y Beneficios Para Trabajadores Depósito Directo
Web pages	Workers' Comp Claims

See also