Application for Pension Benefits by Spouse or Children - Spanish Aplicación para beneficios de pensión presentado por el cónyuge o hijos
 

Search again:

Advanced Search


See also

 
Document Information
  Get help downloading & printing files. How to complete a fillable form.
Title Application for Pension Benefits by Spouse or Children - Spanish Aplicación para beneficios de pensión presentado por el cónyuge o hijos (A fillable form - 295 KB PDF)
Description Used by a spouse or children to apply for pension survivor benefits if a total permanent disabled worker dies.
Detail
Form number F242-391-999
Availability Online only
Keywords disability, disability & pension benefits, disability and pension benefits, disability benefits, disability pension benefits, industrial insurance, insurance, pension, pension & disability benefits, pension and disability benefits, pension benefits, permanent, permanent total disability, spanish, total, worker's compensation, workers compensation, workers' compensation
Languages Spanish , English
Valid dates 03-2008
Contact information Pension Benefits
Web pages Contact Us About Pension Benefits

Visit AccessWA, the WA State Gov Portal
© Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Washington. Access Agreement | Privacy and security statement | Intended use/external content policy | Staff only link