Last updated: 12/19/2024
Dependents Notice and Claim for Compensation {WC18}
Start Your Free Trial $ 15.99What you get:
- Instant access to fillable Microsoft Word or PDF forms.
- Minimize the risk of using outdated forms and eliminate rejected fillings.
- Largest forms database in the USA with more than 80,000 federal, state and agency forms.
- Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
- Trusted by 1,000s of Attorneys and Legal Professionals
Description
WC18 - DEPENDENT’S NOTICE AND CLAIM FOR COMPENSATION. This form is used by the dependents of a decedent who died as a result of a work-related injury or occupational disease in Colorado. This form allows the dependents to apply for workers' compensation benefits. The form requests detailed information about the decedent's employment, injury, and death, as well as the dependents' relationship to the decedent, including their names, contact information, and other financial details. It is used to determine the amount of compensation to be paid to surviving dependents and can also be used to claim reimbursement for funeral expenses. The form must be submitted to the Colorado Division of Workers' Compensation, and dependents are required to swear under oath that the information provided is accurate. www.FormsWorkflow.com
Related forms
-
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/5 Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/5 Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/5 Workers Comp/ -
Colorado/5 Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/5 Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/5 Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/ -
Colorado/Workers Comp/
