CC- Form 3A Claimant's First Notice of Death and Claim for Compensation - Oklahoma

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of CC- Form 3A for the current year.

CC- Form 3A Claimant's First Notice of Death and Claim for Compensation - Oklahoma

What Is CC- Form 3A?

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

FAQ

Q: What is Form 3A?
A: Form 3A is a claimant's first notice of death and claim for compensation form.

Q: What is the purpose of Form 3A?
A: The purpose of Form 3A is to notify the relevant authorities about a death and to make a claim for compensation.

Q: Who is required to fill out Form 3A?
A: The claimant, or someone acting on behalf of the claimant, is required to fill out Form 3A.

Q: What information is required on Form 3A?
A: Form 3A requires information about the deceased individual, the claimant, and the circumstances of the death.

Q: Is there a deadline to submit Form 3A?
A: Yes, there is usually a deadline to submit Form 3A. The specific deadline may vary depending on the jurisdiction and the specific circumstances of the claim.

ADVERTISEMENT

Form Details:

  • Released on April 18, 2018;
  • The latest edition provided by the Oklahoma Workers Compensation Commission;
  • 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 CC- Form 3A by clicking the link below or browse more documents and templates provided by the Oklahoma Workers Compensation Commission.

Download CC- Form 3A Claimant's First Notice of Death and Claim for Compensation - Oklahoma

4.4 of 5 (72 votes)
  • CC- Form 3A Claimants First Notice of Death and Claim for Compensation - Oklahoma, Page 1
ADVERTISEMENT

Related Documents