This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Surviving Spouse/Dependent(s) Election Form is a legal document that was released by the Montana Department of Administration - a government authority operating within Montana.
Q: What is the Surviving Spouse/Dependent(s) Election Form?
A: The Surviving Spouse/Dependent(s) Election Form is a document used in Montana to claim certain benefits as a surviving spouse or dependent(s) of a deceased employee.
Q: Who can use the Surviving Spouse/Dependent(s) Election Form?
A: The Surviving Spouse/Dependent(s) Election Form can be used by a surviving spouse or dependent(s) of a deceased employee in Montana.
Q: What benefits can be claimed using this form?
A: The Surviving Spouse/Dependent(s) Election Form allows you to claim benefits such as workers' compensation, death benefits, and other related benefits.
Q: Are there any deadlines for submitting the form?
A: Yes, there are specific deadlines for submitting the Surviving Spouse/Dependent(s) Election Form. It is important to submit the form within the specified timeframe to ensure eligibility for benefits.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Montana Department of Administration.