Form WC-366.1 Affidavit of Dependent or Dependent(s) Representative in Support of Settlement Under N.j.s.a. 34:15-20 - New Jersey

Form WC-366.1 Affidavit of Dependent or Dependent(s) Representative in Support of Settlement Under N.j.s.a. 34:15-20 - New Jersey

What Is Form WC-366.1?

This is a legal form that was released by the New Jersey Department of Labor & Workforce Development - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2005;
  • The latest edition provided by the New Jersey Department of Labor & Workforce Development;
  • 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 WC-366.1 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Labor & Workforce Development.

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Download Form WC-366.1 Affidavit of Dependent or Dependent(s) Representative in Support of Settlement Under N.j.s.a. 34:15-20 - New Jersey

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  • Form WC-366.1 Affidavit of Dependent or Dependent(s) Representative in Support of Settlement Under N.j.s.a. 34:15-20 - New Jersey, Page 1
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