First responder's annual certification for lifetime income benefits (LIBs) Forms
| Form Name | First responder's annual certification for lifetime income benefits (LIBs) |
| Form # | DWC039 |
| Form Revision | Rev. 11/24 |
| Category | Forms » Financial/Compensation |
| Downloads | |
| Form State | Texas |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |