Claim for Pension by Spouse or Children

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Título Claim for Pension by Spouse or Children (Un formulario electrónico)- 140 KB PDF)
Descripción 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.
Detalle
Número del formulario F242-056-000
Disponibilidad solicítelo
Palabras claves claim information, claims, coverage, disability pension benefits, disabled, espanol, industrial insurance, occupational death, pension disability benefits, social security offset, spanish, sso, surviving children, surviving spouse, worker's compensation, workers compensation, workers' compensation
Idiomas English, Spanish
Fechas válidas 03-2008, 11-2009
Contacto
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