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Skip Navigation Linksדף הבית > HomePage > About > Forms and Authorizations > Forms > Work Disability and Dependants > Claim of Allowance to Dependants of Work Injured (213)

Claim of Allowance to Dependants of Work Injured (213)

Claim for dependant’s allowance to the family members of a work injured person (employed or unemployed) who passed away due to the work ( injury work accident or occupational disease)as well as person who passed away due to voluntary work.
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