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Kentucky Application For Resolution of A Claim - Hearing Loss

State:
Kentucky
Control #:
KY-SKU-1207
Format:
PDF
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Description

Application For Resolution Of A Claim - Hearing Loss The Kentucky Application For Resolution of A Claim — Hearing Loss is a form developed by the Kentucky Department of Workers' Claims to allow individuals who have suffered hearing loss due to an occupational injury or illness to file a claim for benefits. This application should be completed by the claimant and submitted to the Division of Workers' Claims for review. It includes questions about the claimant's occupational history, hearing loss diagnosis, medical treatment, and other relevant information. There are two types of Kentucky Application For Resolution of A Claim — Hearing Loss: one for individuals who have developed hearing loss due to an occupational injury or illness, and one for individuals who have developed hearing loss due to a non-occupational cause such as aging.

The Kentucky Application For Resolution of A Claim — Hearing Loss is a form developed by the Kentucky Department of Workers' Claims to allow individuals who have suffered hearing loss due to an occupational injury or illness to file a claim for benefits. This application should be completed by the claimant and submitted to the Division of Workers' Claims for review. It includes questions about the claimant's occupational history, hearing loss diagnosis, medical treatment, and other relevant information. There are two types of Kentucky Application For Resolution of A Claim — Hearing Loss: one for individuals who have developed hearing loss due to an occupational injury or illness, and one for individuals who have developed hearing loss due to a non-occupational cause such as aging.

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Kentucky Application For Resolution of A Claim - Hearing Loss