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Pennsylvania Fatal Claim Petition For Compensation By Dependents of Deceased Employees

State:
Pennsylvania
Control #:
PA-SKU-4624
Format:
PDF
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Description

Fatal Claim Petition For Compensation By Dependents of Deceased Employees Pennsylvania Fatal Claim Petition for Compensation by Dependents of Deceased Employees is a form used to apply for workers' compensation benefits when a worker has died due to a work-related injury or illness. This form must be completed by the surviving dependents of the deceased employee. Depending on the circumstances, the dependents may be eligible for compensation for funeral expenses, lost wages, and other benefits. There are two types of Pennsylvania Fatal Claim Petition for Compensation by Dependents of Deceased Employees: the Petition to Determine Dependency Status and the Petition to Determine Benefits. The Petition to Determine Dependency Status is used to determine the legal relationship between the deceased employee and the dependent, while the Petition to Determine Benefits is used to determine the amount of benefits that should be awarded to the dependent. Both forms must be submitted to the Pennsylvania Workers’ Compensation Office.

Pennsylvania Fatal Claim Petition for Compensation by Dependents of Deceased Employees is a form used to apply for workers' compensation benefits when a worker has died due to a work-related injury or illness. This form must be completed by the surviving dependents of the deceased employee. Depending on the circumstances, the dependents may be eligible for compensation for funeral expenses, lost wages, and other benefits. There are two types of Pennsylvania Fatal Claim Petition for Compensation by Dependents of Deceased Employees: the Petition to Determine Dependency Status and the Petition to Determine Benefits. The Petition to Determine Dependency Status is used to determine the legal relationship between the deceased employee and the dependent, while the Petition to Determine Benefits is used to determine the amount of benefits that should be awarded to the dependent. Both forms must be submitted to the Pennsylvania Workers’ Compensation Office.

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Petition Deceased