West Virginia Application for 104 Weeks Dependents Benefits is a program designed to provide financial assistance to individuals who are dependents of a deceased worker who was employed in West Virginia. It provides a weekly benefit to help cover expenses such as food, housing, transportation, medical care and other essential needs. The program is funded by the West Virginia Workers’ Compensation Fund. There are two types of West Virginia Application for 104 Weeks Dependents Benefits: Dependents Benefits for Widows and Widowers, and Dependents Benefits for Natural and Adopted Children. Both types of applications require proof of the deceased worker’s employment in WesVirginiansas proof of the applicant’s relationship to the deceased worker. The application also requires other documentation, such as proof of income and residence. Applicants must also provide information about the deceased worker’s death, such as the date of death, the cause of death, and the name of the attending physician. Applicants will receive a decision on their application within 30 days of submission. If approved, benefits will be paid on a weekly basis for up to 104 weeks. The amount of the benefit will depend on the deceased worker’s income, as well as the number of dependents.
West Virginia Application for 104 Weeks Dependents Benefits
Description
How to fill out West Virginia Application For 104 Weeks Dependents Benefits?
If you’re searching for a way to properly prepare the West Virginia Application for 104 Weeks Dependents Benefits without hiring a lawyer, then you’re just in the right place. US Legal Forms has proven itself as the most extensive and reputable library of official templates for every private and business situation. Every piece of paperwork you find on our web service is created in accordance with nationwide and state regulations, so you can be certain that your documents are in order.
Follow these simple instructions on how to obtain the ready-to-use West Virginia Application for 104 Weeks Dependents Benefits:
- Ensure the document you see on the page complies with your legal situation and state regulations by examining its text description or looking through the Preview mode.
- Enter the document title in the Search tab on the top of the page and choose your state from the dropdown to locate another template in case of any inconsistencies.
- Repeat with the content check and click Buy now when you are confident with the paperwork compliance with all the requirements.
- ​Log in to your account and click Download. Sign up for the service and select the subscription plan if you still don’t have one.
- Use your credit card or the PayPal option to purchase your US Legal Forms subscription. The document will be available to download right after.
- Choose in what format you want to save your West Virginia Application for 104 Weeks Dependents Benefits and download it by clicking the appropriate button.
- Add your template to an online editor to complete and sign it quickly or print it out to prepare your hard copy manually.
Another wonderful thing about US Legal Forms is that you never lose the paperwork you acquired - you can find any of your downloaded blanks in the My Forms tab of your profile any time you need it.