Form WC-365 Employee Claim Petition - New Jersey

Form WC-365 Employee Claim Petition - New Jersey

What Is Form WC-365?

This is a legal form that was released by the New Jersey Department of Labor & Workforce Development - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form WC-365?A: Form WC-365 is the Employee Claim Petition for workers' compensation in New Jersey.

Q: Who can use Form WC-365?A: Employees who have suffered work-related injuries or illnesses in New Jersey can use Form WC-365.

Q: What is the purpose of Form WC-365?A: The purpose of Form WC-365 is for employees to file a claim for workers' compensation benefits in New Jersey.

Q: What information is required on Form WC-365?A: Form WC-365 requires information such as the employee's personal details, employer information, details of the injury/illness, and other relevant information.

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Form Details:

  • Released on August 26, 2015;
  • The latest edition provided by the New Jersey Department of Labor & Workforce Development;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form WC-365 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New Jersey Department of Labor & Workforce Development.

Download Form WC-365 Employee Claim Petition - New Jersey

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