APPLICATION FOR BENEFITS UNDER SECTION 909 OF THE WORKERS’ COMPENSATION ACT Forms
| Form Name | APPLICATION FOR BENEFITS UNDER SECTION 909 OF THE WORKERS’ COMPENSATION ACT |
| Form # | LIBC-118 |
| Form Revision | REV 01-23 |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Pennsylvania |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |