Declaration of Entitlement for Guardian Benefits under Industrial Insurance


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Title Declaration of Entitlement for Guardian Benefits under Industrial Insurance
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.
Document number F242-173-222
How to get this document
Keywords claim information, claims, coverage, disability pension benefits, espanol, occupational death, pension disability benefits, social security offset, spanish, sso, surviving children, survivor benefits, survivors, worker's compensation, workers compensation, workers' compensation
Alt Language(s) Español
Valid dates 11/2009
Contact information
Websites Workers' Comp Claims

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