Declaración De Derechos Para Padres O Tutor Bajo El Programa De Compensación Y Beneficios Para Trabajadores
 

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Title Declaración De Derechos Para Padres O Tutor Bajo El Programa De Compensación Y Beneficios Para Trabajadores (166 KB PDF)
Description Used by a guardian or other person having custody of the minor or disabled children or dependents of a deceased worker to declare their entitlement to receive the pension benefits for those children/dependents in their care and custody.
Detail
Form number F242-173-922
Availability Online only
Keywords benefits, claim information, claims, coverage, deceased, deceased worker, declaration, disability, disability & pension benefits, disability and pension benefits, disability benefits, disability pension benefits, disabled, entitlement, guardian, industrial insurance, insurance, occupation, occupational, occupational death, offset, pension, pension & disability benefits, pension and disability benefits, pension benefits, pension disability benefits, security, social, social security, social security offset, sso, surviving children, surviving spouse, survivor benefits, survivors, worker's compensation, workers compensation, workers' compensation
Languages Spanish , English
Valid dates 10-2008
Contact information Managing Injured Workers' Claims
Claims for Job Injuries
Web pages Workers' Comp Claims

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