Form 11 Request to Substitute Party and Continue Benefits - Kentucky

Form 11 Request to Substitute Party and Continue Benefits - Kentucky

What Is Form 11?

This is a legal form that was released by the Kentucky Department of Workers' Claims - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 11?
A: Form 11 is a Request to Substitute Party and Continue Benefits form in Kentucky.

Q: What is the purpose of Form 11?
A: The purpose of Form 11 is to request a substitution of party and continue receiving benefits.

Q: Who can use Form 11?
A: Form 11 can be used by individuals who are receiving benefits and need to request a substitution of party.

Q: How do I fill out Form 11?
A: You will need to provide your personal information, details about your case, and the reasons for requesting a substitution of party.

Q: What should I do with the completed Form 11?
A: You should submit Form 11 to the Kentucky Workers' Compensation Board for processing.

Q: Is there a fee to submit Form 11?
A: No, there is no fee to submit Form 11.

Q: What happens after I submit Form 11?
A: The Kentucky Workers' Compensation Board will review your request and make a decision on whether to approve the substitution of party.

Q: How long does it take to process Form 11?
A: The processing time for Form 11 can vary, but it is typically within a few weeks.

Q: Can I appeal if my request on Form 11 is denied?
A: Yes, if your request on Form 11 is denied, you have the right to appeal the decision.

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Form Details:

  • Released on October 1, 2016;
  • The latest edition provided by the Kentucky Department of Workers' Claims;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 11 by clicking the link below or browse more documents and templates provided by the Kentucky Department of Workers' Claims.

Download Form 11 Request to Substitute Party and Continue Benefits - Kentucky

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