Pennsylvania Occupational Disease Claim Petition

State:
Pennsylvania
Control #:
PA-SKU-4644
Format:
PDF
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Description

Occupational Disease Claim Petition The Pennsylvania Occupational Disease Claim Petition is a form used to file a workers' compensation claim for an occupational disease or injury. This petition is used by any employee injured as a result of an occupational disease or injury, or a surviving family member of an employee who has died due to an occupational disease or injury. The petition is filed with the Pennsylvania Bureau of Workers' Compensation. There are two types of Pennsylvania Occupational Disease Claim Petition: 1. Employee Occupational Disease Claim Petition: This is used by an injured employee to file a claim for compensation for an occupational disease or injury. 2. Survivor's Occupational Disease Claim Petition: This is used by a surviving family member of an employee who has died due to an occupational disease or injury to file a claim for compensation.

The Pennsylvania Occupational Disease Claim Petition is a form used to file a workers' compensation claim for an occupational disease or injury. This petition is used by any employee injured as a result of an occupational disease or injury, or a surviving family member of an employee who has died due to an occupational disease or injury. The petition is filed with the Pennsylvania Bureau of Workers' Compensation. There are two types of Pennsylvania Occupational Disease Claim Petition: 1. Employee Occupational Disease Claim Petition: This is used by an injured employee to file a claim for compensation for an occupational disease or injury. 2. Survivor's Occupational Disease Claim Petition: This is used by a surviving family member of an employee who has died due to an occupational disease or injury to file a claim for compensation.

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Pennsylvania Occupational Disease Claim Petition