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  • Benefit Claim For Attached Worker Form

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ME MI LAST NAME 2. SOCIAL SECURITY NUMBER 3. MAILING ADDRESS CITY STATE 4. COUNTY OF RESIDENCE CODE 5. HISPANIC/LATINO (0) No ZIP CODE (1) Yes (9) Unknown 6. SEX 5a. RACE 7. DATE OF BIRTH (1) WHITE 8. ARE YOU A U.S. CITIZEN? Y 9. RETIREMENT PENSION N Y N (2) BLACK (3) AMERICAN INDIAN / ALASKAN NATIVE (4) ASIAN (6) MULTIPLE (7) OTHER MM / DD / YYYY 10. DURING THE PAST 2 YEARS HAVE YOU SERVED IN THE US MILITARY? (If NO FOR ITEM 8, OR YES FOR ITEM 9, COMPLETE.

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IIDB won't affect other benefits – for example you can get IIDB at the same time as Personal Independence Payments (PIP) or Attendance Allowance. If you or your partner get IIDB, you won't be affected by the 'benefit cap' which limits the amount of benefit payments a household can get.

If you are claiming IIDB for occupational deafness, you will be invited to have a hearing test to see if you have an average hearing loss of at least 50 decibels in both ears due to damage to the inner ear. In at least one ear this damage must be caused by noise at work.

Claiming IIDB There is no time limit for making a claim for IIDB (except for claims for industrial deafness). However, claims can only be backdated for up to three months before the date of claim. People thinking about making a claim for IIDB may want to seek specialist welfare rights advice.

You can claim IIDB if you were employed in a job or were on an approved employment training scheme or course that caused your disease. The scheme covers more than 70 diseases, including: asthma. chronic bronchitis or emphysema - also known as chronic obstructive pulmonary disease (COPD)

To apply for IIDB, you need to fill in a claim form. There are separate forms to apply for the different types of IIDB. One form is for accidents caused by work, and the other is for diseases caused by work. If you have a disease from work and had an accident at work, you will need to fill in both forms.

The amount depends on the extent of your disability and your age. For example, if you are assessed as 100% disabled, you would get £207.60 a week . Depending on the extent of your disability, you can be paid IIDB: For a fixed period.

Claim by post Complete the paper claim form that was sent with your Access to Work decision letter to claim money from your grant by post. You need to include any invoices or receipts requested in the claims form. You can send copies if you do not have the originals.

IIDB won't affect other benefits – for example you can get IIDB at the same time as Personal Independence Payments (PIP) or Attendance Allowance. If you or your partner get IIDB, you won't be affected by the 'benefit cap' which limits the amount of benefit payments a household can get.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232