This document contains official instructions for Form 027 , Application for Hearing-Dependent's Benefits and/or Occupational Disease Claim - a form released and collected by the Utah Labor Commission. An up-to-date fillable Form 027 is available for download through this link.
Q: What is Form 027?
A: Form 027 is an application for Hearing-Dependent's Benefits and/or Burial Benefits for Occupational Disease Claim in Utah.
Q: Who can use Form 027?
A: Form 027 is to be used by individuals seeking Hearing-Dependent's Benefits and/or Burial Benefits for an Occupational Disease Claim in Utah.
Q: What are Hearing-Dependent's Benefits?
A: Hearing-Dependent's Benefits are monetary benefits provided to dependents of a deceased worker whose death was caused by an occupational disease.
Q: What are Burial Benefits?
A: Burial Benefits are monetary benefits provided to help cover the costs of a worker's funeral and burial expenses.
Q: How do I apply for Hearing-Dependent's Benefits and/or Burial Benefits?
A: You can apply for Hearing-Dependent's Benefits and/or Burial Benefits by completing Form 027 and submitting it to the relevant authorities in Utah.
Q: What documentation do I need to include with Form 027?
A: You may need to include supporting documentation such as medical records, death certificate, and proof of relationship with the deceased worker.
Q: What is an Occupational Disease Claim?
A: An Occupational Disease Claim is a claim made by a worker or their dependents for benefits due to a disease caused by their work or workplace conditions.
Q: Can I apply for Hearing-Dependent's Benefits and/or Burial Benefits if the worker died from a non-occupational cause?
A: No, Hearing-Dependent's Benefits and/or Burial Benefits are only available if the worker's death was directly caused by an occupational disease.
Q: Are Hearing-Dependent's Benefits and/or Burial Benefits taxable?
A: Hearing-Dependent's Benefits and/or Burial Benefits may be subject to federal and state taxes. It is advisable to consult a tax professional for guidance.
Instruction Details:
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Utah Labor Commission.