Application for Death Benefits or Balance of Award - Wyoming

Application for Death Benefits or Balance of Award - Wyoming

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.

FAQ

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.

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Form Details:

  • Released on July 1, 2011;
  • The latest edition currently provided by the Wyoming Department of Workforce Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Application for Death Benefits or Balance of Award - Wyoming

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