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