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.
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.
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.
Form Details:
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.