Obtenga un formulario o publicación: permanent total disability

Su búsqueda de "permanent total disability" consiguió 6 resultados.

Título Tipo Número

Application for Pension Benefits by Spouse or Children - (Spanish) Aplicación para Beneficios de Pensión Presentado por el Cónyuge o Hijos


Also available in: English

Used by a spouse or dependent that was chosen by the deceased worker to receive a survivor benefit. At the time the worker was determined to be totally permanently disabled he/she made a decision to leave a survivor benefit to a spouse or dependent if the worker dies.

Form F242-391-999

Pension Benefits Questionnaire - Spanish Cuestionario para Beneficios de Pensión


Also available in: English

Used by an injured worker who receives an order that states he or she is totally permanently disabled. This questionnaire must be completed in full and all necessary documents attached before his or her pension benefit options can be calculated.

Form F242-393-999
Application for Pension Benefits by Spouse or Children
Also available in: Spanish

Used by a spouse or dependent that was chosen by the deceased worker to receive a survivor benefit. At the time the worker was determined to be totally permanently disabled he/she made a decision to leave a survivor benefit to a spouse or dependent if the worker dies.

Form F242-391-000
Assignment of Account Agreement

Used by a self-insured employer as an option to provide collateral for a total permanent disability claim.

Form F207-058-000
Pension Benefits Questionnaire
Also available in: Spanish

Used by an injured worker who receives an order that states he or she is totally permanently disabled. This questionnaire must be completed in full and all necessary documents attached before his or her pension benefit options can be calculated.

Form F242-393-000
Self-Insurer's Pension Bond

Used by self-insured employers as an option to provide collateral for a permanent total disability claim.

Form F207-065-000

No consiguió resultados para "permanent total disability."

End of main content, page footer follows.

Access Washington en Español

© Depto. de Labor e Industrias del Estado de Washington. El uso de éste sitio del Internet está sujeto a las leyes del Estado de Washington.