Volunteer Firefighters Claim For Benefits {VF-3}

VF-3 - VOLUNTEER FIREFIGHTER'S CLAIM FOR BENEFITS. This form is used by volunteer firefighters to report an injury or accident that occurred in the line of duty and to claim benefits related to that injury. The form collects information about the firefighter's personal details, such as their name, address, and contact information. It also asks for details about the injury, including the date, time, and location of the incident, as well as a description of the nature and extent of the injury. The form also includes questions about medical care received, amputation, return to work, and ongoing medical care. There are sections regarding volunteer firefighters' benefits payments and whether the necessary notices have been given to the political subdivision liable for the benefits. The form provides instructions for filing the claim, including where to send it and the time limits for submission. Additionally, it includes information about the rights and entitlements of volunteer firefighters under the law and a notice regarding privacy protection. www.FormsWorkflow.com