Get a Form or Publication: reclamo para beneficios

Your search for "reclamo para beneficios" returned 2 documents.

Title Type Number
Claim for Pension by Spouse or Children -  Reclamo para Beneficios de Pensión Presentado por el Cónyuge, Pareja Doméstica Registrada o los Hijos (Spanish)
Also available in: English

Used by a spouse or dependents of a deceased worker. The workers' fatal accident or occupational disease incurred in the course of their employment. This application is needed to determine if applicant(s) is/are entitled to a survivor benefit.

Form F242-056-999
Reclamo para Beneficios de Pensión Presentado por los Dependientes
Also available in: English

Used by dependents of a deceased worker to file a claim for benefits.

Form F242-062-999



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