Form MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits - Minnesota

Form MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits - Minnesota

What Is Form MN DB02?

This is a legal form that was released by the Minnesota Department of Labor and Industry - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits?
A: MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits is a form used in Minnesota to notify the discontinuance of workers' compensation dependency benefits.

Q: Who uses MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits?
A: This form is used by employers, insurers, and workers' compensation administrators in Minnesota.

Q: When is MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits used?
A: This form is used when there is a need to discontinue workers' compensation dependency benefits.

Q: Are there any fees associated with MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits?
A: No, there are no fees associated with this form.

Q: What information is required in MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits?
A: The form requires information such as the name of the injured worker, date of discontinuance, reason for discontinuance, and signature of the employer or insurer representative.

Q: What is the deadline for submitting MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits?
A: There is no specific deadline mentioned, but it is recommended to submit the form as soon as the decision to discontinue the benefits is made.

Q: What are the consequences of not submitting MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits?
A: Failure to submit this form may result in delays or complications in the discontinuance of workers' compensation dependency benefits.

Q: Can I appeal the discontinuance of workers' compensation dependency benefits?
A: Yes, you can appeal the discontinuance of workers' compensation dependency benefits by filing a petition with the Minnesota Office of Administrative Hearings.

Q: Is legal representation required for filing MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits?
A: No, legal representation is not required, but you may seek legal advice if needed.

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Form Details:

  • Released on February 1, 2010;
  • The latest edition provided by the Minnesota Department of Labor and Industry;
  • 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 fillable version of Form MN DB02 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Labor and Industry.

Download Form MN DB02 Notice of Discontinuance of Workers' Compensation Dependency Benefits - Minnesota

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