Second Injury Fund Verified Petition {SCF-161} | Pdf Fpdf Doc Docx | New Jersey

 New Jersey   Workers Comp   Formal Litigation 
Second Injury Fund Verified Petition {SCF-161} | Pdf Fpdf Doc Docx | New Jersey

Last updated: 10/3/2024

Second Injury Fund Verified Petition {SCF-161}

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Description

SCF-161 - SECOND INJURY FUND VERIFIED PETITION. This form is used in New Jersey to apply for benefits from the Second Injury Fund. This fund provides compensation to workers who are totally and permanently disabled due to a combination of pre-existing conditions and a last compensable workplace injury or occupational disease. The petitioner must provide personal details, employment and medical history, information about the compensable injury, current medical conditions, and details of any third-party legal actions. The form also asks for information about other benefits received, such as Social Security, disability, or veterans benefits. The petitioner must declare that they believe they are permanently disabled and that they are eligible for benefits from the Second Injury Fund. www.FormsWorkflow.com

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