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Temporary total incapacity benefits. I apply for all insurance benefits for which I am eligible under Title II (Federal Old-Age,.Section 9 provides death benefits to certain survivors and dependents where a work-related injury causes an employee's death. The spouse receives the full benefit if children become ineligible due to age. Divorced spouses are not eligible. 2. These benefits are provided to help you return to work. It also provides benefits to your dependents if you die as a result of a job-related injury. Q. Do I need to fill out the claim form (DWC 1) my employer gave me? If my spouse or common-law partner dies as a result of a workplace injury, how do I apply for workers compensation benefits? To the class of partial dependents, the biweekly benefits cannot equal more than the deceased worker's full benefit rate.