Application for Death Benefits or Balance of Award is a legal document that was released by the Wyoming Department of Workforce Services - a government authority operating within Wyoming.
Q: What is the application for Death Benefits or Balance of Award in Wyoming?
A: The application is for claiming death benefits or the remaining balance of a worker's compensation award in Wyoming.
Q: Who can apply for Death Benefits or Balance of Award in Wyoming?
A: A dependent of a deceased worker or a worker who has a remaining balance of an award can apply.
Q: How can I apply for Death Benefits or Balance of Award in Wyoming?
A: You can apply by completing and submitting the application form to the Wyoming Workers' Compensation Division.
Q: What documents do I need to submit with the application?
A: You will need to submit a death certificate for death benefits or the award order for balance of award, along with any other supporting documentation.
Q: Is there a deadline to apply for Death Benefits or Balance of Award in Wyoming?
A: Yes, you must apply within one year from the date of death or within one year from the date the remaining balance of the award became due.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Wyoming Department of Workforce Services.