Notice of Potential Entitlement to Workers’ Compensation Death Benefits Forms
Form Name | Notice of Potential Entitlement to Workers’ Compensation Death Benefits |
Form # | PLN-12 |
Form Revision | Rev. 12/23 |
Category | Forms » Board/Commission/Division |
Downloads | |
Form State | Texas |
Language | English |
State Description | n/a |
Claimwire Description | n/a |